Mid and South Essex NHS Foundation Trust

The Mid and South Essex NHS Foundation Trust incorporates Southend Hospital, Chelmsford & Essex Hospital, Broomfield Hospital and Basildon University Hospital https://www.mse.nhs.uk/

Prior to 2022-2023, outcomes were separately reported for Mid and South Essex NHS Foundation Trust - Basildon University Hospital and Mid and South Essex NHS Foundation Trust - Broomfield Hospital

View Mid and South Essex NHS Foundation Trust - Basildon University Hospital outcomes

View Mid and South Essex NHS Foundation Trust - Broomfield Hospital outcomes

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services
    • On-site psychology services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 698 4253 38604
Data completeness of:
– Completed stage 1-4 (%) 74 81 82
– Performance status (%) 27 75 74
Patients having major resection: Trust Network National
Number of patients in Audit 406 2462 21702
Performance status 0 (%) 21 48 50
Performance status 1 (%) 10 26 22
Performance status 2 (%) 2 6 5
Performance status 3 (%) N/A 1 1
Performance status 4 or not recorded (%) 66 20 21
Data completeness of:
7 Audit items for risk-adjustment (%) 25 65 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 698 4253 38604
Clinical Nurse Specialist (CNS) information recorded (%) 23 65 65
Seen by CNS if CNS record present (%) 98 91 94

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 406 2462 21702
Distant metastases (%) 7 7 7
Emergency surgery (%) 9 11 13
At least 12 lymph nodes excised (%) 57 57 53
Laparoscopic surgery attempted (%) 74 73 65
Risk-adjusted length of stay > 5 days (%) 57 57 59
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 263 1372 12052
Adjuvant chemotherapy (%) 59 63 66

Rectal cancer patients
Patients having major resection: Trust Network National
Neoadjuvant therapy (%) 33 28 34
Rectal volume 79 546 4753
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 367 2595 23317
APER/Hartmanns (%) 27 34 35

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