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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 186 3445 31676
Case ascertainment (%) 99 100 95
Data completeness of:
– Pre-treatment TNM (%) 88 79 80
– Performance status (%) 93 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 108 2169 19218
ASA grade 1 (%) 15 11 11
ASA grade 2 (%) 41 53 53
ASA grade 3 (%) 7 30 28
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) 37 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 61 82 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 186 3445 31676
Seen by Clinical Nurse Specialist (%) 99 88 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 49 845 7416
Undergoing major resection (%) 88 88 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 108 2169 19218
Distant metastases (%) 10 9 8
Urgent or emergency surgery (%) 11 17 15
At least 12 lymph nodes excised (%) 87 77 84
Laparoscopic surgery attempted (%) 73 74 69
Risk-adjusted length of stay > 5 days (%) 54 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 54 1249 11837
Adjuvant chemotherapy (%) 72 71 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 30 535 4588
Neoadjuvant therapy (%) 3 31 33
Circumferential resection margin: Recorded (%) 100 88 90
Circumferential resection margin: Negative (%) 90 80 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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