Ysbyty Glan Clwydd MDT

The Ysbyty Glan Clwydd MDT incorporates Glan Clwyd Hospital in Rhyl http://www.wales.nhs.uk/sitesplus/861/home

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT 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
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 155 1948 30541
Case ascertainment (%) 94 104 93
Data completeness of:
– Pre-treatment TNM (%) 83 85 78
– Performance status (%) 99 90 85
Patients having major resection: Trust Network National
Number of patients in Audit 94 1297 19183
ASA grade 1 (%) 6 8 12
ASA grade 2 (%) 53 56 52
ASA grade 3 (%) 32 33 27
ASA grade 4+ (%) 9 2 2
ASA grade not recorded (%) N/A 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 100 93 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 155 1948 30424
Seen by Clinical Nurse Specialist (%) 100 100 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 94 1297 19222
Distant metastases (%) 10 13 8
Urgent or emergency surgery (%) 23 19 17
At least 12 lymph nodes excised (%) 94 87 87
Laparoscopic surgery attempted (%) 49 52 66
Risk-adjusted length of stay > 5 days (%) 70 70 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 25 337 4503
Neoadjuvant therapy (%) 39 32 36
Circumferential resection margin: Present (%) 100 93 84
Circumferential resection margin: Negative (%) 100 85 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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