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 270 1998 29766
Case ascertainment (%) 200 110 90
Data completeness of:
– Pre-treatment TNM (%) 97 91 83
– Performance status (%) 100 83 85
Patients having major resection: Trust Network National
Number of patients in Audit 182 1117 16499
ASA grade 1 (%) 13 7 10
ASA grade 2 (%) 56 51 53
ASA grade 3 (%) 30 37 30
ASA grade 4+ (%) 2 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 270 1998 29766
Seen by Clinical Nurse Specialist (%) 89 89 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 55 429 7226
Undergoing major resection (%) 87 90 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 182 1117 16474
Distant metastases (%) 8 10 6
Urgent or emergency surgery (%) 24 19 15
At least 12 lymph nodes excised (%) 85 87 84
Laparoscopic surgery attempted (%) 42 56 72
Risk-adjusted length of stay > 5 days (%) 63 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 55 603 10641
Adjuvant chemotherapy (%) 55 68 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 49 266 3899
Neoadjuvant therapy (%) N/A 5 32
Circumferential resection margin: Recorded (%) 98 93 86
Circumferential resection margin: Negative (%) 84 86 79
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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