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 MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Surgical services:
    • Robotic surgery
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 287 1307 31676
Case ascertainment (%) 91 99 95
Data completeness of:
– Pre-treatment TNM (%) 74 83 80
– Performance status (%) 52 67 86
Patients having major resection: Trust Network National
Number of patients in Audit 185 809 19218
ASA grade 1 (%) 23 16 11
ASA grade 2 (%) 60 52 53
ASA grade 3 (%) 12 21 28
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) 3 10 5
Data completeness of:
7 Audit items for risk-adjustment (%) 69 82 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 287 1307 31676
Seen by Clinical Nurse Specialist (%) 86 89 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 15 281 7416
Undergoing major resection (%) 80 84 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 185 809 19218
Distant metastases (%) 14 9 8
Urgent or emergency surgery (%) 22 13 15
At least 12 lymph nodes excised (%) 74 87 84
Laparoscopic surgery attempted (%) 83 80 69
Risk-adjusted length of stay > 5 days (%) 81 74 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 114 571 11837
Adjuvant chemotherapy (%) 60 60 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 43 209 4588
Neoadjuvant therapy (%) 50 55 33
Circumferential resection margin: Recorded (%) 81 84 90
Circumferential resection margin: Negative (%) 72 72 80
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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