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 1998 29766
Case ascertainment (%) 97 110 90
Data completeness of:
– Pre-treatment TNM (%) 99 91 83
– Performance status (%) 95 83 85
Patients having major resection: Trust Network National
Number of patients in Audit 98 1117 16499
ASA grade 1 (%) 3 7 10
ASA grade 2 (%) 63 51 53
ASA grade 3 (%) 33 37 30
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 0 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 96 93 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 154 1998 29766
Seen by Clinical Nurse Specialist (%) 92 89 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 36 429 7226
Undergoing major resection (%) 89 90 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 98 1117 16474
Distant metastases (%) 10 10 6
Urgent or emergency surgery (%) 24 19 15
At least 12 lymph nodes excised (%) 73 87 84
Laparoscopic surgery attempted (%) 43 56 72
Risk-adjusted length of stay > 5 days (%) 81 68 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 37 603 10641
Adjuvant chemotherapy (%) 70 68 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 25 266 3899
Neoadjuvant therapy (%) N/A 5 32
Circumferential resection margin: Recorded (%) 88 93 86
Circumferential resection margin: Negative (%) 88 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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