West Wales General & Prince Phillip MDT

The West Wales General & Prince Phillip MDT incorporates West Wales General Hospital in Carmarthen and Prince Philip Hospital in Llanelli http://www.wales.nhs.uk/sitesplus/862/home

Prior to 2021-2022, outcomes were separately reported for Bronglais MDT, West Wales General & Prince Phillip MDT and Withybush General MDT

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 154 1933 31676
Case ascertainment (%) 98 110 95
Data completeness of:
– Pre-treatment TNM (%) 92 89 80
– Performance status (%) 94 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 104 1220 19218
ASA grade 1 (%) 8 9 11
ASA grade 2 (%) 77 59 53
ASA grade 3 (%) 11 30 28
ASA grade 4+ (%) 5 3 3
ASA grade not recorded (%) N/A N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 88 92 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 154 1933 31676
Seen by Clinical Nurse Specialist (%) 91 80 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 35 434 7416
Undergoing major resection (%) 97 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 104 1220 19218
Distant metastases (%) 7 10 8
Urgent or emergency surgery (%) 17 19 15
At least 12 lymph nodes excised (%) 80 85 84
Laparoscopic surgery attempted (%) 63 52 69
Risk-adjusted length of stay > 5 days (%) 78 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 28 291 4588
Neoadjuvant therapy (%) 6 30 33
Circumferential resection margin: Recorded (%) 75 91 90
Circumferential resection margin: Negative (%) 75 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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