Weston Area Health NHS Trust

Management of High Grade Dysplasia patients

Time period: 2015-19
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 127 1120
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 81 64.0% 90.0%
Treatment planning
– HGD plan discussed at MDT 101 79.5% 93.0%
– Treatment plan for active treatment 116 91.1% 82.0%
First treatment
– Endoscopic therapy (such as endoscopic resection) 109 86.2% 78.0%
– Surveillance 3 2.4% 11.0%

NOTE: Percentages have been calculated based on the number of patients with recorded data for each variable and not the total number of patients in the Cancer Alliance.

Management of oesophago-gastric cancer patients

Time period: 2017-2019
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 19 19,865
Case ascertainment for OG cancer (%) <65%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
0 0.0% 13.1%
– Patients with referral source reported as unknown 0 0.0% 1.4%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 15 78.9% 94.0%
Treatment planning
– Patients having a plan for curative treatment 10 52.6% 37.2%
– Patients having a plan for non-curative treatment 9 47.4% 62.8%
– Patients with non-curative plans having chemotherapy or radiotherapy 3 33.3% 34.7%

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