Maidstone and Tunbridge Wells NHS Trust

The Maidstone and Tunbridge Wells NHS Trust incorporates Maidstone Hospital in Maidstone, Tunbridge Wells Hospital in Pembury, and Kent & Canterbury Hospital in Canterbury https://www.mtw.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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT

Data Quality
All Patients: Trust Network National
Number of patients in Audit 244 1013 31676
Case ascertainment (%) 97 93 95
Data completeness of:
– Pre-treatment TNM (%) 95 78 80
– Performance status (%) 99 91 86
Patients having major resection: Trust Network National
Number of patients in Audit 134 641 19218
ASA grade 1 (%) 7 9 11
ASA grade 2 (%) 33 52 53
ASA grade 3 (%) 20 28 28
ASA grade 4+ (%) 1 1 3
ASA grade not recorded (%) 38 10 5
Data completeness of:
7 Audit items for risk-adjustment (%) 60 81 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 244 1013 31676
Seen by Clinical Nurse Specialist (%) 99 86 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 90 234 7416
Undergoing major resection (%) 70 83 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 134 641 19218
Distant metastases (%) 4 10 8
Urgent or emergency surgery (%) 27 19 15
At least 12 lymph nodes excised (%) 78 80 84
Laparoscopic surgery attempted (%) 62 70 69
Risk-adjusted length of stay > 5 days (%) 82 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 91 454 11837
Adjuvant chemotherapy (%) 57 64 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 32 127 4588
Neoadjuvant therapy (%) 23 22 33
Circumferential resection margin: Recorded (%) 100 95 90
Circumferential resection margin: Negative (%) 100 54 80
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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