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 134 994 32641
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 73 74 85
– Performance status (%) 99 81 86
Patients having major resection: Trust Network National
Number of patients in Audit 55 420 18552
ASA grade 1 (%) 9 4 9
ASA grade 2 (%) 58 47 53
ASA grade 3 (%) 29 23 30
ASA grade 4+ (%) 4 2 2
ASA grade not recorded (%) N/A 25 6
Data completeness of:
7 Audit items for risk-adjustment (%) 85 70 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 134 994 29766
Seen by Clinical Nurse Specialist (%) 93 70 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 24 234 8157
Undergoing major resection (%) 83 79 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 55 420 18515
Distant metastases (%) 2 3 6
Urgent or emergency surgery (%) 5 13 21
At least 12 lymph nodes excised (%) 86 70 86
Laparoscopic surgery attempted (%) 86 64 71
Risk-adjusted length of stay > 5 days (%) 35 42 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 59 307 10335
Adjuvant chemotherapy (%) 63 56 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 17 101 4137
Neoadjuvant therapy (%) 7 29 34
Circumferential resection margin: Recorded (%) 100 70 90
Circumferential resection margin: Negative (%) 94 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 98 524 17956
APER/Hartmanns (%) 27 46 37

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