Nevill Hall Hospital MDT

The Nevill Hall Hospital MDT incorporates Nevill Hall Hospital in Abergavenny http://www.wales.nhs.uk/sitesplus/866/home

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • 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
  • 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 115 1998 29766
Case ascertainment (%) 132 110 90
Data completeness of:
– Pre-treatment TNM (%) 90 91 83
– Performance status (%) 100 83 85
Patients having major resection: Trust Network National
Number of patients in Audit 76 1117 16499
ASA grade 1 (%) 7 7 10
ASA grade 2 (%) 49 51 53
ASA grade 3 (%) 43 37 30
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 0 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 93 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 115 1998 29766
Seen by Clinical Nurse Specialist (%) 100 89 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 76 1117 16474
Distant metastases (%) 15 10 6
Urgent or emergency surgery (%) 21 19 15
At least 12 lymph nodes excised (%) 86 87 84
Laparoscopic surgery attempted (%) 42 56 72
Risk-adjusted length of stay > 5 days (%) 74 68 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 266 3899
Neoadjuvant therapy (%) N/A 5 32
Circumferential resection margin: Negative (%) 82 86 79
Circumferential resection margin: Recorded (%) 100 93 86
APER rate (%) 36 31 24

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