Shrewsbury and Telford Hospital NHS Trust

West Midlands, Cancer Alliance

The Shrewsbury and Telford Hospital NHS Trust incorporates Royal Shrewsbury Hospital and Princess Royal Hospital in Telford https://www.sath.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 107 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 86 80.0% 87.1%
Treatment planning
– HGD plan discussed at MDT 92 86.0% 85.8%
– Treatment plan for active treatment 61 57.0% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 50 46.7% 69.6%
– Surveillance 33 30.8% 12.8%
– No active treatment or surveillance 4 3.7% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 171 21417
Case ascertainment for OG cancer (%) 65-74%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
15 9.9% 12.9%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 102 76.6% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 56 32.7% 37.9%
– Patients having a plan for non-curative treatment 115 67.3% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 67 58.3% 48.2%

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