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
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 195 1497 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 96 85
– Performance status (%) 100 94 86
Patients having major resection: Trust Network National
Number of patients in Audit 99 826 18552
ASA grade 1 (%) 23 11 9
ASA grade 2 (%) 62 57 53
ASA grade 3 (%) 15 28 30
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 90 88 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 195 1497 29766
Seen by Clinical Nurse Specialist (%) 98 92 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 63 384 8157
Undergoing major resection (%) 83 80 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 99 826 18515
Distant metastases (%) 6 4 6
Urgent or emergency surgery (%) 17 16 21
At least 12 lymph nodes excised (%) 88 83 86
Laparoscopic surgery attempted (%) 79 69 71
Risk-adjusted length of stay > 5 days (%) 67 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 62 490 10335
Adjuvant chemotherapy (%) 71 57 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 12 157 4137
Neoadjuvant therapy (%) 33 35 34
Circumferential resection margin: Recorded (%) 92 85 90
Circumferential resection margin: Negative (%) 92 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 94 815 17956
APER/Hartmanns (%) 28 35 37

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