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
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 93 3496 30541
Case ascertainment (%) 53 97 93
Data completeness of:
– Pre-treatment TNM (%) 82 62 78
– Performance status (%) 100 88 85
Patients having major resection: Trust Network National
Number of patients in Audit 35 2168 19183
ASA grade 1 (%) 20 11 12
ASA grade 2 (%) 34 56 52
ASA grade 3 (%) 17 29 27
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) 29 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 23 79 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 93 3496 30424
Seen by Clinical Nurse Specialist (%) 99 90 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 35 2168 19222
Distant metastases (%) 18 7 8
Urgent or emergency surgery (%) 21 14 17
At least 12 lymph nodes excised (%) 88 88 87
Laparoscopic surgery attempted (%) 89 69 66
Risk-adjusted length of stay > 5 days (%) 50 67 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 484 4503
Neoadjuvant therapy (%) N/A 30 36
Circumferential resection margin: Present (%) N/A 87 84
Circumferential resection margin: Negative (%) N/A 81 77
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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