East Kent Hospitals University NHS Foundation Trust

The East Kent Hospitals University NHS Foundation Trust incorporates Kent & Canterbury Hospital in Canterbury, Queen Elizabeth The Queen Mother Hospital in Margate, and William Harvey Hospital in Ashford http://www.ekhuft.nhs.uk/

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • 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 561 1240 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 73 77 86
– Performance status (%) 96 70 89
Patients having major resection: Trust Network National
Number of patients in Audit 349 500 19631
ASA grade 1 (%) 4 4 9
ASA grade 2 (%) 62 61 53
ASA grade 3 (%) 31 32 31
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 1 N/A 4
Data completeness of:
7 Audit items for risk-adjustment (%) 63 49 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 561 1240 35779
Seen by Clinical Nurse Specialist (%) 89 85 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 349 500 19614
Distant metastases (%) 5 5 5
Urgent or emergency surgery (%) 14 12 15
At least 12 lymph nodes excised (%) 57 44 84
Laparoscopic surgery attempted (%) 81 71 72
Risk-adjusted length of stay > 5 days (%) 41 45 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 183 N/A 10747
Adjuvant chemotherapy (%) 54 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 57 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 16 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 59 N/A 4251
Neoadjuvant therapy (%) 44 N/A 33
Circumferential resection margin: Recorded (%) 75 61 89
Circumferential resection margin: Negative (%) 73 60 83
Rectal volume 57 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 236 517 19644
APER/Hartmanns (%) 56 43 37

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