Milton Keynes Hospital NHS Foundation Trust

The Milton Keynes Hospital NHS Foundation Trust incorporates Milton Keynes Hospital http://www.mkhospital.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • 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 128 1412 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 99 87 85
– Performance status (%) 100 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 80 868 18552
ASA grade 1 (%) 3 8 9
ASA grade 2 (%) 80 55 53
ASA grade 3 (%) 16 29 30
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) N/A 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 96 88 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 128 1412 29766
Seen by Clinical Nurse Specialist (%) 98 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 32 344 8157
Undergoing major resection (%) 84 85 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 80 868 18515
Distant metastases (%) 5 6 6
Urgent or emergency surgery (%) 15 12 21
At least 12 lymph nodes excised (%) 87 89 86
Laparoscopic surgery attempted (%) 83 83 71
Risk-adjusted length of stay > 5 days (%) 49 56 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 43 430 10335
Adjuvant chemotherapy (%) 74 61 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 20 198 4137
Neoadjuvant therapy (%) N/A 17 34
Circumferential resection margin: Recorded (%) 90 86 90
Circumferential resection margin: Negative (%) 85 80 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 84 819 17956
APER/Hartmanns (%) 38 36 37

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