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 313 1002 29766
Case ascertainment (%) 98 90 90
Data completeness of:
– Pre-treatment TNM (%) 85 68 83
– Performance status (%) 37 69 85
Patients having major resection: Trust Network National
Number of patients in Audit N/A 354 16499
ASA grade 1 (%) N/A 12 10
ASA grade 2 (%) N/A 59 53
ASA grade 3 (%) N/A 28 30
ASA grade 4+ (%) N/A 1 3
ASA grade not recorded (%) N/A 0 4
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 87 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 313 1002 29766
Seen by Clinical Nurse Specialist (%) 19 54 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 80 199 7226
Undergoing major resection (%) 71 83 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit N/A 354 16474
Distant metastases (%) N/A 6 6
Urgent or emergency surgery (%) N/A 18 15
At least 12 lymph nodes excised (%) N/A 80 84
Laparoscopic surgery attempted (%) N/A 73 72
Risk-adjusted length of stay > 5 days (%) N/A 53 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 48 359 10641
Adjuvant chemotherapy (%) 54 57 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 68 3899
Neoadjuvant therapy (%) 10 23 32
Circumferential resection margin: Recorded (%) N/A 72 86
Circumferential resection margin: Negative (%) N/A 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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