St Helens & Knowsley Teaching Hospitals NHS Trust

Cheshire and Merseyside, Cancer Alliance

The St Helens and Knowsley Teaching Hospitals NHS Trust incorporates Whiston Hospital in Prescot and St Helens Hospital in St Helens http://www.sthk.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 104 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 73 70.2% 87.1%
Treatment planning
– HGD plan discussed at MDT 84 80.8% 85.8%
– Treatment plan for active treatment 77 74.0% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 61 58.7% 69.6%
– Surveillance 21 20.2% 12.8%
– No active treatment or surveillance 6 5.8% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 148 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
N/A 2.7% 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 49 52.7% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 47 31.8% 37.9%
– Patients having a plan for non-curative treatment 101 68.2% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 45 44.6% 48.2%

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