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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 262 2248 28013
Case ascertainment (%) 96 85 93
Data completeness of:
– Pre-treatment TNM (%) 83 71 71
– Performance status (%) 63 84 77
Patients having major resection: Trust Network National
Number of patients in Audit 151 1439 18809
ASA grade 1 (%) 16 15 14
ASA grade 2 (%) 55 57 53
ASA grade 3 (%) 19 22 25
ASA grade 4+ (%) 3 2 3
ASA grade not recorded (%) 7 4 5
Data completeness of:
7 Audit items for risk-adjustment (%) 93 87 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 262 2248 30122
Seen by Clinical Nurse Specialist (%) 94 84 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 151 1439 18809
Distant metastases (%) 3 9 9
Urgent or emergency surgery (%) 16 15 16
Median number of lymph nodes excised 17 18 17
Laparoscopic surgery attempted (%) 54 62 61
Length of stay > 5 days (%) 80 65 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 27 316 4769
Neoadjuvant therapy (%) 39 29 37
Circumferential resection margin: Recorded (%) 4 32 25
Circumferential resection margin: Positive (%) 7 5 7
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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