St Helens & Knowsley Teaching Hospitals NHS Trust

Cheshire and Merseyside, Cancer Alliance

Management of High Grade Dysplasia patients

Time period: 2016-20
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 61 1372
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 48 79.3% 88.1%
Treatment planning
– HGD plan discussed at MDT 56 91.8% 89.7%
– Treatment plan for active treatment 41 66.7% 78.8%
First treatment
– Endoscopic therapy (such as endoscopic resection) 31 50.3% 71.8%
– Surveillance 16 25.9% 13.9%

Management of oesophago-gastric cancer patients

Time period: 2018-2020
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 171 20,319
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 15.8% 12.6%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 139 81.3% 85.9%
Treatment planning
– Patients having a plan for curative treatment 63 36.8% 39.4%
– Patients having a plan for non-curative treatment 108 63.2% 60.6%
– Patients with non-curative plans having chemotherapy or radiotherapy 31 28.7% 42.8%

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