Mid Cheshire Hospitals NHS Foundation Trust

The Mid Cheshire Hospitals NHS Foundation Trust incorporates Leighton Hospital in Crewe http://www.mcht.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • 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 174 1526 31676
Case ascertainment (%) 93 91 95
Data completeness of:
– Pre-treatment TNM (%) 99 91 80
– Performance status (%) 100 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 93 925 19218
ASA grade 1 (%) 10 11 11
ASA grade 2 (%) 63 57 53
ASA grade 3 (%) 18 28 28
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 8 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 91 89 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 174 1526 31676
Seen by Clinical Nurse Specialist (%) 94 90 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 64 401 7416
Undergoing major resection (%) 84 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 93 925 19218
Distant metastases (%) 1 7 8
Urgent or emergency surgery (%) 13 11 15
At least 12 lymph nodes excised (%) 97 84 84
Laparoscopic surgery attempted (%) 76 62 69
Risk-adjusted length of stay > 5 days (%) 75 66 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 70 612 11837
Adjuvant chemotherapy (%) 60 56 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 20 196 4588
Neoadjuvant therapy (%) 67 41 33
Circumferential resection margin: Recorded (%) 90 78 90
Circumferential resection margin: Negative (%) 85 60 80
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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