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
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 160 1015 30541
Case ascertainment (%) 87 91 93
Data completeness of:
– Pre-treatment TNM (%) 90 77 78
– Performance status (%) 94 79 85
Patients having major resection: Trust Network National
Number of patients in Audit 107 639 19183
ASA grade 1 (%) 18 11 12
ASA grade 2 (%) 66 53 52
ASA grade 3 (%) 13 29 27
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) 3 5 7
Data completeness of:
7 Audit items for risk-adjustment (%) 92 86 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 160 1015 30424
Seen by Clinical Nurse Specialist (%) 99 89 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 107 639 19222
Distant metastases (%) 12 9 8
Urgent or emergency surgery (%) 19 17 17
At least 12 lymph nodes excised (%) 88 89 87
Laparoscopic surgery attempted (%) 80 69 66
Risk-adjusted length of stay > 5 days (%) 58 63 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 152 4503
Neoadjuvant therapy (%) 13 27 36
Circumferential resection margin: Present (%) 92 78 84
Circumferential resection margin: Negative (%) 92 75 77
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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