South Tees Hospitals NHS Foundation Trust

North East and Cumbria, Cancer Alliance

The South Tees Hospitals NHS Foundation Trust incorporates James Cook University Hospital in Middlesbroughand Friarage Hospital in Northallerton https://www.southtees.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 193 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 180 93.1% 87.1%
Treatment planning
– HGD plan discussed at MDT 178 92.2% 85.8%
– Treatment plan for active treatment 131 67.9% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 112 58.0% 69.6%
– Surveillance 27 14.0% 12.8%
– No active treatment or surveillance 15 7.8% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 231 21417
Case ascertainment for OG cancer (%) 85-100%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
31 14.0% 12.9%
– Patients with referral source reported as unknown 5 2.2% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 167 81.4% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 104 45.0% 37.9%
– Patients having a plan for non-curative treatment 127 55.0% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 52 40.9% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2015-2018
Organisation National
Number of patients having surgery 197 6730
Length of stay, median (days) 13 11
Operations in which 15 or more lymph nodes were examined (%) 75.3% 84.4%
30-day postoperative mortality (%) 2.1% 1.9%
90-day postoperative mortality (%) 2.6% 3.4%
Oesophageal surgery
Number of patients having oesophageal surgery 116 4404
Oesophageal patients with positive longitudinal margins (%) 10.8% 3.8%
Oesophageal patients with positive circumferential margins (%) 35.2% 25.4%
Gastric surgery
Number of patients having gastric surgery 81 2326
Gastric patients with positive longitudinal margins (%) 12.6% 7.2%

NB: Outcome figures are not presented for trusts reporting fewer than 10 cases


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