Wye Valley NHS Trust

The Wye Valley NHS Trust incorporates Hereford County Hospital http://www.wyevalley.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 137 2837 30541
Case ascertainment (%) 107 88 93
Data completeness of:
– Pre-treatment TNM (%) 73 80 78
– Performance status (%) 87 84 85
Patients having major resection: Trust Network National
Number of patients in Audit 88 1814 19183
ASA grade 1 (%) 20 12 12
ASA grade 2 (%) 51 50 52
ASA grade 3 (%) 24 29 27
ASA grade 4+ (%) 3 3 2
ASA grade not recorded (%) 1 7 7
Data completeness of:
7 Audit items for risk-adjustment (%) 95 76 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 137 2837 30424
Seen by Clinical Nurse Specialist (%) 99 95 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 88 1814 19222
Distant metastases (%) 6 9 8
Urgent or emergency surgery (%) 15 19 17
At least 12 lymph nodes excised (%) 93 90 87
Laparoscopic surgery attempted (%) 70 69 66
Risk-adjusted length of stay > 5 days (%) 66 59 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 24 427 4503
Neoadjuvant therapy (%) 5 31 36
Circumferential resection margin: Present (%) 100 63 84
Circumferential resection margin: Negative (%) 75 57 77
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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