Manchester University NHS Foundation Trust - Wythenshawe Hospital

Case Ascertainment for 2018-19 and 2019-20 was calculated for the entire trust. The Manchester University NHS Foundation Trust - Wythenshawe Hospital incorporates Wythenshawe Hospital in Manchester https://mft.nhs.uk//

For 2022-2023 outcomes, Manchester Royal Infirmary, Wythenshawe Hospital and North Manchester General Hospital are reporting under the Manchester University NHS Foundation Trust

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 143 1302 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 78 92 86
– Performance status (%) 100 87 88
Patients having major resection: Trust Network National
Number of patients in Audit 79 635 15891
ASA grade 1 (%) 3 11 8
ASA grade 2 (%) 52 55 52
ASA grade 3 (%) 42 29 31
ASA grade 4+ (%) 4 3 2
ASA grade not recorded (%) N/A 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 97 94 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 143 1301 28523
Seen by Clinical Nurse Specialist (%) 89 90 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 29 320 7393
Undergoing major resection (%) 76 73 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 79 635 15855
Distant metastases (%) 4 6 7
Urgent or emergency surgery (%) 18 27 20
At least 12 lymph nodes excised (%) 95 87 86
Laparoscopic surgery attempted (%) 71 55 67
Risk-adjusted length of stay > 5 days (%) 47 63 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 71 546 10794
Adjuvant chemotherapy (%) 55 57 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 12 114 3481
Neoadjuvant therapy (%) 38 53 38
Circumferential resection margin: Recorded (%) 83 93 89
Circumferential resection margin: Negative (%) 83 82 82
Rectal volume 16 121 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 95 855 19595
APER/Hartmanns (%) 40 44 36

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