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 MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 163 1029 30710
Case ascertainment (%) 94 97 95
Data completeness of:
– Pre-treatment TNM (%) 77 73 76
– Performance status (%) 89 87 83
Patients having major resection: Trust Network National
Number of patients in Audit 97 652 19231
ASA grade 1 (%) 19 12 12
ASA grade 2 (%) 66 54 53
ASA grade 3 (%) 13 25 27
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 1 7 6
Data completeness of:
7 Audit items for risk-adjustment (%) 78 84 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 163 1029 30710
Seen by Clinical Nurse Specialist (%) 85 93 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 97 652 19231
Distant metastases (%) 8 7 9
Urgent or emergency surgery (%) 27 21 16
At least 12 lymph nodes excised (%) 93 91 84
Laparoscopic surgery attempted (%) 77 67 63
Risk-adjusted length of stay > 5 days (%) 61 69 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 24 140 4468
Neoadjuvant therapy (%) 20 33 35
Circumferential resection margin: Recorded (%) 8 11 26
Circumferential resection margin: Positive (%) 4 8 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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