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 260 1326 29766
Case ascertainment (%) 91 101 90
Data completeness of:
– Pre-treatment TNM (%) 75 78 83
– Performance status (%) 60 54 85
Patients having major resection: Trust Network National
Number of patients in Audit 154 769 16499
ASA grade 1 (%) 25 12 10
ASA grade 2 (%) 55 52 53
ASA grade 3 (%) 8 20 30
ASA grade 4+ (%) 0 2 3
ASA grade not recorded (%) 12 14 4
Data completeness of:
7 Audit items for risk-adjustment (%) 57 69 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 260 1326 29766
Seen by Clinical Nurse Specialist (%) 94 80 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients N/A 240 7226
Undergoing major resection (%) N/A 82 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 154 769 16474
Distant metastases (%) 13 10 6
Urgent or emergency surgery (%) 21 13 15
At least 12 lymph nodes excised (%) 66 72 84
Laparoscopic surgery attempted (%) 89 82 72
Risk-adjusted length of stay > 5 days (%) 75 71 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 107 489 10641
Adjuvant chemotherapy (%) 63 63 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 27 182 3899
Neoadjuvant therapy (%) 43 50 32
Circumferential resection margin: Recorded (%) 74 69 86
Circumferential resection margin: Negative (%) 67 63 79
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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