Mid Yorkshire Hospitals NHS Trust

The Mid Yorkshire Hospitals NHS Trust incorporates Pinderfields General Hospital in Wakefield, Pontefract General Infirmary, and Dewsbury & District Hospital https://www.midyorks.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 316 1703 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 99 86 86
– Performance status (%) 100 76 89
Patients having major resection: Trust Network National
Number of patients in Audit 219 821 19631
ASA grade 1 (%) 1 5 9
ASA grade 2 (%) 68 59 53
ASA grade 3 (%) 28 22 31
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) N/A 13 4
Data completeness of:
7 Audit items for risk-adjustment (%) 95 84 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 316 1703 35779
Seen by Clinical Nurse Specialist (%) 94 76 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 219 821 19614
Distant metastases (%) 4 5 5
Urgent or emergency surgery (%) 18 20 15
At least 12 lymph nodes excised (%) 92 90 84
Laparoscopic surgery attempted (%) 77 81 72
Risk-adjusted length of stay > 5 days (%) 77 63 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 132 N/A 10747
Adjuvant chemotherapy (%) 66 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 86 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 30 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 40 N/A 4251
Neoadjuvant therapy (%) 55 N/A 33
Circumferential resection margin: Recorded (%) 93 96 89
Circumferential resection margin: Negative (%) 83 90 83
Rectal volume 44 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 190 909 19644
APER/Hartmanns (%) 20 31 37

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