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 MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 458 994 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 76 74 85
– Performance status (%) 90 81 86
Patients having major resection: Trust Network National
Number of patients in Audit 278 420 18552
ASA grade 1 (%) 4 4 9
ASA grade 2 (%) 58 47 53
ASA grade 3 (%) 28 23 30
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 8 25 6
Data completeness of:
7 Audit items for risk-adjustment (%) 89 70 89

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit N/A N/A N/A
Seen by Clinical Nurse Specialist (%) 64 70 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 119 234 8157
Undergoing major resection (%) 98 79 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 278 420 18515
Distant metastases (%) 4 3 6
Urgent or emergency surgery (%) 17 13 21
At least 12 lymph nodes excised (%) 86 70 86
Laparoscopic surgery attempted (%) 69 64 71
Risk-adjusted length of stay > 5 days (%) 43 42 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 188 307 10335
Adjuvant chemotherapy (%) 51 56 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 59 101 4137
Neoadjuvant therapy (%) 30 29 34
Circumferential resection margin: Negative (%) 85 65 84
Circumferential resection margin: Recorded (%) 92 70 90
APER rate (%) 32 27 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 185 524 17956
APER/Hartmanns (%) 63 46 37

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