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 Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT

Data Quality

All Patients: Trust Network National
Number of patients in Audit 122 1002 29766
Case ascertainment (%) 72 90 90
Data completeness of:
– Pre-treatment TNM (%) 57 68 83
– Performance status (%) 98 69 85
Patients having major resection: Trust Network National
Number of patients in Audit 66 354 16499
ASA grade 1 (%) 17 12 10
ASA grade 2 (%) 62 59 53
ASA grade 3 (%) 21 28 30
ASA grade 4+ (%) 0 1 3
ASA grade not recorded (%) 0 0 4
Data completeness of:
7 Audit items for risk-adjustment (%) 79 87 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 122 1002 29766
Seen by Clinical Nurse Specialist (%) 98 54 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 12 199 7226
Undergoing major resection (%) 75 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 66 354 16474
Distant metastases (%) 10 6 6
Urgent or emergency surgery (%) 14 18 15
At least 12 lymph nodes excised (%) 71 80 84
Laparoscopic surgery attempted (%) 75 73 72
Risk-adjusted length of stay > 5 days (%) 56 53 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 76 359 10641
Adjuvant chemotherapy (%) 64 57 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 16 68 3899
Neoadjuvant therapy (%) 13 23 32
Circumferential resection margin: Recorded (%) 100 72 86
Circumferential resection margin: Negative (%) 100 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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