Prince Charles Hospital MDT

The Prince Charles Hospital MDT incorporates Prince Charles Hospital in Merthyr Tydfil http://cwmtaf.wales/

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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
  • Oncology services:
    • On-site chemotherapy services
  • 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 100 1911 30710
Case ascertainment (%) 120 119 95
Data completeness of:
– Pre-treatment TNM (%) 96 73 76
– Performance status (%) 100 74 83
Patients having major resection: Trust Network National
Number of patients in Audit 68 1214 19231
ASA grade 1 (%) N/A 10 12
ASA grade 2 (%) 41 53 53
ASA grade 3 (%) 51 32 27
ASA grade 4+ (%) 7 4 3
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 91 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 100 1911 30710
Seen by Clinical Nurse Specialist (%) 94 89 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 68 1214 19231
Distant metastases (%) 9 14 9
Urgent or emergency surgery (%) 15 20 16
At least 12 lymph nodes excised (%) 76 78 84
Laparoscopic surgery attempted (%) 84 46 63
Risk-adjusted length of stay > 5 days (%) 55 71 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 18 273 4468
Neoadjuvant therapy (%) 24 38 35
Circumferential resection margin: Recorded (%) 6 5 26
Circumferential resection margin: Positive (%) 6 4 7
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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