Medway NHS Foundation Trust

The Medway NHS Foundation Trust incorporates Medway Maritime Hospital in Gillingham, Kent https://www.medway.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Support service facilities:
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 221 1240 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 77 86
– Performance status (%) 93 70 89
Patients having major resection: Trust Network National
Number of patients in Audit 123 500 19631
ASA grade 1 (%) 4 4 9
ASA grade 2 (%) 59 61 53
ASA grade 3 (%) 33 32 31
ASA grade 4+ (%) 4 2 2
ASA grade not recorded (%) N/A N/A 4
Data completeness of:
7 Audit items for risk-adjustment (%) 2 49 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 221 1240 35779
Seen by Clinical Nurse Specialist (%) 87 85 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 123 500 19614
Distant metastases (%) N/A 5 5
Urgent or emergency surgery (%) 8 12 15
At least 12 lymph nodes excised (%) N/A 44 84
Laparoscopic surgery attempted (%) 59 71 72
Risk-adjusted length of stay > 5 days (%) N/A 45 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 34 N/A 10747
Adjuvant chemotherapy (%) 65 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 16 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 18 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 16 N/A 4251
Neoadjuvant therapy (%) 24 N/A 33
Circumferential resection margin: Recorded (%) N/A 61 89
Circumferential resection margin: Negative (%) N/A 60 83
Rectal volume 14 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 87 517 19644
APER/Hartmanns (%) 18 43 37

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