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Maidstone and Tunbridge Wells NHS Trust

The Maidstone and Tunbridge Wells NHS Trust incorporates Maidstone Hospital in Maidstone, Tunbridge Wells Hospital in Pembury, and Kent & Canterbury Hospital in Canterbury https://www.mtw.nhs.uk/

This trust offers the following services:

Acute services:

On-site bowel stenting facilities

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

All Patients:	Trust	Network	National
Number of patients in Audit	295	1015	30541
Case ascertainment (%)	98	91	93

Data completeness of:
– Pre-treatment TNM (%)	77	77	78
– Performance status (%)	60	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	152	639	19183
ASA grade 1 (%)	9	11	12
ASA grade 2 (%)	43	53	52
ASA grade 3 (%)	28	29	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	18	5	7

Data completeness of:
7 Audit items for risk-adjustment (%)	65	86	83

Key:

: > 80%

: 50 - 80%

: < 50%

Patients having major resection:	Trust	Network	National
Number of patients in Audit	152	639	19222
Distant metastases (%)	5	9	8
Urgent or emergency surgery (%)	5	17	17
At least 12 lymph nodes excised (%)	88	89	87
Laparoscopic surgery attempted (%)	68	69	66
Risk-adjusted length of stay > 5 days (%)	80	63	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	42	152	4503
Neoadjuvant therapy (%)	27	27	36
Circumferential resection margin: Present (%)	60	78	84
Circumferential resection margin: Negative (%)	60	75	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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