Nevill Hall Hospital MDT

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

Prior to 2021-2022, outcomes were separately reported for Nevill Hall and Royal Gwent Hospital

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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
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 108 1948 30541
Case ascertainment (%) 86 104 93
Data completeness of:
– Pre-treatment TNM (%) 88 85 78
– Performance status (%) 99 90 85
Patients having major resection: Trust Network National
Number of patients in Audit 74 1297 19183
ASA grade 1 (%) 1 8 12
ASA grade 2 (%) 53 56 52
ASA grade 3 (%) 41 33 27
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) 3 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 95 93 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 108 1948 30424
Seen by Clinical Nurse Specialist (%) 100 100 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 74 1297 19222
Distant metastases (%) 11 13 8
Urgent or emergency surgery (%) 11 19 17
At least 12 lymph nodes excised (%) 81 87 87
Laparoscopic surgery attempted (%) 46 52 66
Risk-adjusted length of stay > 5 days (%) 77 70 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 16 337 4503
Neoadjuvant therapy (%) 82 32 36
Circumferential resection margin: Present (%) 100 93 84
Circumferential resection margin: Negative (%) 81 85 77
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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