Mid Essex Hospital Services NHS Trust

The Mid Essex Hospital Services NHS Trust incorporates Chelmsford & Essex Hospital and Broomfield Hospital http://www.meht.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
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 175 3626 31676
Case ascertainment (%) 98 101 95
Data completeness of:
– Pre-treatment TNM (%) 93 71 80
– Performance status (%) 100 89 86
Patients having major resection: Trust Network National
Number of patients in Audit 92 2090 19218
ASA grade 1 (%) 12 13 11
ASA grade 2 (%) 72 52 53
ASA grade 3 (%) 13 30 28
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) 3 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 86 83 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 175 3626 31676
Seen by Clinical Nurse Specialist (%) 99 86 87
All patients deemed potentially curative? Trust Network National
Number of patients 43 756 7416
Major resection rate in potentially curative patients (%) 86 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 92 2090 19218
Distant metastases (%) 1 8 8
Urgent or emergency surgery (%) 14 14 15
At least 12 lymph nodes excised (%) 69 79 84
Laparoscopic surgery attempted (%) 89 75 69
Risk-adjusted length of stay > 5 days (%) 51 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 16 1337 11837
Adjuvant chemotherapy (%) 75 55 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 18 533 4588
Neoadjuvant therapy (%) N/A 25 33
Circumferential resection margin: Negative (%) 22 80 80
Circumferential resection margin: Recorded (%) 89 88 90
APER rate (%) 11 21 25

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