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/

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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
  • 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 434 1002 29766
Case ascertainment (%) 94 90 90
Data completeness of:
– Pre-treatment TNM (%) 59 68 83
– Performance status (%) 75 69 85
Patients having major resection: Trust Network National
Number of patients in Audit 288 354 16499
ASA grade 1 (%) 10 12 10
ASA grade 2 (%) 59 59 53
ASA grade 3 (%) 30 28 30
ASA grade 4+ (%) 1 1 3
ASA grade not recorded (%) 0 0 4
Data completeness of:
7 Audit items for risk-adjustment (%) 89 87 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 434 1002 29766
Seen by Clinical Nurse Specialist (%) 56 54 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 82 199 7226
Undergoing major resection (%) 98 83 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 288 354 16474
Distant metastases (%) 5 6 6
Urgent or emergency surgery (%) 19 18 15
At least 12 lymph nodes excised (%) 82 80 84
Laparoscopic surgery attempted (%) 73 73 72
Risk-adjusted length of stay > 5 days (%) 53 53 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 173 359 10641
Adjuvant chemotherapy (%) 53 57 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 52 68 3899
Neoadjuvant therapy (%) 31 23 32
Circumferential resection margin: Recorded (%) 63 72 86
Circumferential resection margin: Negative (%) 54 65 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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