Southend University Hospital NHS Foundation Trust

East of England, Cancer Alliance

The Southend University Hospital NHS Foundation Trust incorporates Southend Hospital http://www.southend.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 208 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 186 89.6% 87.1%
Treatment planning
– HGD plan discussed at MDT 184 88.5% 85.8%
– Treatment plan for active treatment 173 83.2% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 162 77.9% 69.6%
– Surveillance 18 8.7% 12.8%
– No active treatment or surveillance 3 1.4% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 137 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
17 12.4% 12.9%
– Patients with referral source reported as unknown 1 0.7% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 127 94.2% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 37 27.0% 37.9%
– Patients having a plan for non-curative treatment 100 73.0% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 37 37.0% 48.2%

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