Hywel Dda University Health Board MDT

The Hywel Dda Health Board MDT incorporates Bronglais Hospital in Aberystwyth, Glangwili Hospital in Carmarthen (previously known as West Wales), Prince Philip Hospital in Llanelli, Withybush Hospital in Haverfordwest https://hduhb.nhs.wales/

Prior to 2021-2022, outcomes were separately reported for Bronglais MDT, West Wales General & Prince Phillip MDT and Withybush General MDT

View previous outcomes for Bronglais MDT

View previous outcomes for West Wales General & Prince Phillip MDT

View previous outcomes for Withybush General MDT

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 369 2377 38604
Data completeness of:
– Completed stage 1-4 (%) 99 90 82
– Performance status (%) 100 97 74
Patients having major resection: Trust Network National
Number of patients in Audit 198 1498 21702
Performance status 0 (%) 59 57 50
Performance status 1 (%) 34 31 22
Performance status 2 (%) 6 7 5
Performance status 3 (%) 1 2 1
Performance status 4 or not recorded (%) 1 3 21
Data completeness of:
7 Audit items for risk-adjustment (%) 99 96 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 369 2377 38604
Clinical Nurse Specialist (CNS) information recorded (%) 100 96 65
Seen by CNS if CNS record present (%) 87 92 94

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 198 1498 21702
Distant metastases (%) 9 7 7
Emergency surgery (%) 20 14 13
At least 12 lymph nodes excised (%) 85 89 53
Laparoscopic surgery attempted (%) 66 62 65
Risk-adjusted length of stay > 5 days (%) 60 63 59
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 86 690 12052
Adjuvant chemotherapy (%) 51 58 66

Rectal cancer patients

Patients having major resection: Trust Network National
Neoadjuvant therapy (%) 22 28 34
Rectal volume 34 313 4753
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 139 1113 23317
APER/Hartmanns (%) 39 43 35

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