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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • 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 115 3150 28013
Case ascertainment (%) 68 97 93
Data completeness of:
– Pre-treatment TNM (%) 50 54 71
– Performance status (%) 97 64 77
Patients having major resection: Trust Network National
Number of patients in Audit 83 1907 18809
ASA grade 1 (%) 14 10 14
ASA grade 2 (%) 49 53 53
ASA grade 3 (%) 25 24 25
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 8 9 5
Data completeness of:
7 Audit items for risk-adjustment (%) 49 70 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 115 3150 30122
Seen by Clinical Nurse Specialist (%) 100 87 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 83 1907 18809
Distant metastases (%) 11 10 9
Urgent or emergency surgery (%) 17 17 16
Median number of lymph nodes excised 16 16 17
Laparoscopic surgery attempted (%) 82 59 61
Length of stay > 5 days (%) 70 71 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 18 483 4769
Neoadjuvant therapy (%) 7 26 37
Circumferential resection margin: Recorded (%) 72 28 25
Circumferential resection margin: Positive (%) 17 8 7
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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