Royal Gwent Hospital MDT

The Royal Gwent Hospital MDT incorporates Royal Gwent Hospital in Newport 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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 283 1933 31676
Case ascertainment (%) 219 110 95
Data completeness of:
– Pre-treatment TNM (%) 91 89 80
– Performance status (%) 99 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 211 1220 19218
ASA grade 1 (%) 15 9 11
ASA grade 2 (%) 53 59 53
ASA grade 3 (%) 30 30 28
ASA grade 4+ (%) 2 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 283 1933 31676
Seen by Clinical Nurse Specialist (%) 84 80 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 59 434 7416
Undergoing major resection (%) 86 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 211 1220 19218
Distant metastases (%) 12 10 8
Urgent or emergency surgery (%) 27 19 15
At least 12 lymph nodes excised (%) 82 85 84
Laparoscopic surgery attempted (%) 36 52 69
Risk-adjusted length of stay > 5 days (%) 76 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 11837
Adjuvant chemotherapy (%) N/A N/A 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 51 291 4588
Neoadjuvant therapy (%) 23 30 33
Circumferential resection margin: Recorded (%) 96 91 90
Circumferential resection margin: Negative (%) 86 86 80
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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