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 159 1506 29766
Case ascertainment (%) 94 97 90
Data completeness of:
– Pre-treatment TNM (%) 99 94 83
– Performance status (%) 99 84 85
Patients having major resection: Trust Network National
Number of patients in Audit 86 891 16499
ASA grade 1 (%) 10 10 10
ASA grade 2 (%) 74 60 53
ASA grade 3 (%) 15 28 30
ASA grade 4+ (%) 0 2 3
ASA grade not recorded (%) 0 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 87 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 159 1506 29766
Seen by Clinical Nurse Specialist (%) 91 86 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 42 387 7226
Undergoing major resection (%) 81 84 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 86 891 16474
Distant metastases (%) 4 4 6
Urgent or emergency surgery (%) 22 14 15
At least 12 lymph nodes excised (%) 94 83 84
Laparoscopic surgery attempted (%) 72 66 72
Risk-adjusted length of stay > 5 days (%) 61 67 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 58 505 10641
Adjuvant chemotherapy (%) 62 55 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 17 211 3899
Neoadjuvant therapy (%) 71 42 32
Circumferential resection margin: Recorded (%) 94 80 86
Circumferential resection margin: Negative (%) 88 63 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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