Manchester University NHS Foundation Trust - Manchester Royal Infirmary

Case Ascertainment is calculated for the entire trust. The Manchester University NHS Foundation Trust - Manchester Royal Infirmary incorporates Manchester Royal Infirmary and Trafford General Hospital in Manchester https://mft.nhs.uk//

Manchester University NHS Foundation Trust (MFT) was formed on 1st October 2017 following the merger of Central Manchester University Hospitals NHS Foundation Trust (CMFT) and University Hospital of South Manchester NHS Foundation Trust (UHSM).

View 2017-2018 outcomes

For 2022-2023 outcomes, Manchester Royal Infirmary, Wythenshawe Hospital and North Manchester General Hospital are reporting under the Manchester University NHS Foundation Trust

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 227 1547 29766
Case ascertainment (%) 117 102 90
Data completeness of:
– Pre-treatment TNM (%) 97 83 83
– Performance status (%) 99 89 85
Patients having major resection: Trust Network National
Number of patients in Audit 125 908 16499
ASA grade 1 (%) 49 14 10
ASA grade 2 (%) 39 51 53
ASA grade 3 (%) 12 32 30
ASA grade 4+ (%) 0 2 3
ASA grade not recorded (%) 0 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 100 93 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 227 1547 29766
Seen by Clinical Nurse Specialist (%) 95 93 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 51 382 7226
Undergoing major resection (%) 84 84 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 125 908 16474
Distant metastases (%) 10 7 6
Urgent or emergency surgery (%) 19 20 15
At least 12 lymph nodes excised (%) 90 85 84
Laparoscopic surgery attempted (%) 68 62 72
Risk-adjusted length of stay > 5 days (%) 76 66 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 55 539 10641
Adjuvant chemotherapy (%) 53 57 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 29 192 3899
Neoadjuvant therapy (%) 65 55 32
Circumferential resection margin: Recorded (%) 100 92 86
Circumferential resection margin: Negative (%) 97 85 79
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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