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 150 3507 29766
Case ascertainment (%) 109 97 90
Data completeness of:
– Pre-treatment TNM (%) 63 80 83
– Performance status (%) 96 86 85
Patients having major resection: Trust Network National
Number of patients in Audit 103 2012 16499
ASA grade 1 (%) 15 10 10
ASA grade 2 (%) 51 50 53
ASA grade 3 (%) 25 34 30
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) 5 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 92 88 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 150 3507 29766
Seen by Clinical Nurse Specialist (%) 96 86 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 31 854 7226
Undergoing major resection (%) 87 87 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 103 2012 16474
Distant metastases (%) 3 4 6
Urgent or emergency surgery (%) 20 16 15
At least 12 lymph nodes excised (%) 92 82 84
Laparoscopic surgery attempted (%) 67 74 72
Risk-adjusted length of stay > 5 days (%) 60 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 53 1187 10641
Adjuvant chemotherapy (%) 79 67 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 27 503 3899
Neoadjuvant therapy (%) 5 30 32
Circumferential resection margin: Recorded (%) 96 88 86
Circumferential resection margin: Negative (%) 93 81 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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