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
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 279 994 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 81 74 85
– Performance status (%) 51 81 86
Patients having major resection: Trust Network National
Number of patients in Audit N/A 420 18552
ASA grade 1 (%) N/A 4 9
ASA grade 2 (%) N/A 47 53
ASA grade 3 (%) N/A 23 30
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A 25 6
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 70 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 279 994 29766
Seen by Clinical Nurse Specialist (%) 75 70 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 77 234 8157
Undergoing major resection (%) 44 79 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit N/A 420 18515
Distant metastases (%) N/A 3 6
Urgent or emergency surgery (%) N/A 13 21
At least 12 lymph nodes excised (%) N/A 70 86
Laparoscopic surgery attempted (%) N/A 64 71
Risk-adjusted length of stay > 5 days (%) N/A 42 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 24 307 10335
Adjuvant chemotherapy (%) 58 56 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 101 4137
Neoadjuvant therapy (%) N/A 29 34
Circumferential resection margin: Recorded (%) N/A 70 90
Circumferential resection margin: Negative (%) N/A 65 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 140 524 17956
APER/Hartmanns (%) 46 46 37

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