Princess of Wales MDT

The Princess of Wales MDT incorporates Princess of Wales Hospital in Bridgend and Neath Port Talbot Hospital http://www.wales.nhs.uk/sitesplus/863/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
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 133 1933 31676
Case ascertainment (%) 103 110 95
Data completeness of:
– Pre-treatment TNM (%) 98 89 80
– Performance status (%) 96 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 85 1220 19218
ASA grade 1 (%) 7 9 11
ASA grade 2 (%) 64 59 53
ASA grade 3 (%) 28 30 28
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) N/A N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 92 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 133 1933 31676
Seen by Clinical Nurse Specialist (%) 91 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 28 434 7416
Major resection rate in potentially curative patients (%) 96 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 85 1220 19218
Distant metastases (%) 13 10 8
Urgent or emergency surgery (%) 13 19 15
At least 12 lymph nodes excised (%) 90 85 84
Laparoscopic surgery attempted (%) 48 52 69
Risk-adjusted length of stay > 5 days (%) 60 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 11837
Adjuvant chemotherapy (%) N/A N/A 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 25 291 4588
Neoadjuvant therapy (%) 45 30 33
Circumferential resection margin: Negative (%) 100 86 80
Circumferential resection margin: Recorded (%) 100 91 90
APER rate (%) 32 29 25

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