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
    • On-site psychology services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 161 3656 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 71 78 85
– Performance status (%) 66 84 86
Patients having major resection: Trust Network National
Number of patients in Audit 93 2244 18552
ASA grade 1 (%) 15 7 9
ASA grade 2 (%) 52 51 53
ASA grade 3 (%) 20 34 30
ASA grade 4+ (%) 3 3 2
ASA grade not recorded (%) 10 5 6
Data completeness of:
7 Audit items for risk-adjustment (%) 88 89 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 161 3656 29766
Seen by Clinical Nurse Specialist (%) 66 87 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 36 881 8157
Undergoing major resection (%) 89 88 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 93 2244 18515
Distant metastases (%) 10 6 6
Urgent or emergency surgery (%) 16 16 21
At least 12 lymph nodes excised (%) 86 85 86
Laparoscopic surgery attempted (%) 73 72 71
Risk-adjusted length of stay > 5 days (%) 55 58 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 42 1158 10335
Adjuvant chemotherapy (%) 57 67 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 22 538 4137
Neoadjuvant therapy (%) 20 34 34
Circumferential resection margin: Recorded (%) 91 92 90
Circumferential resection margin: Negative (%) 73 86 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 80 2151 17956
APER/Hartmanns (%) 30 33 37

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