WALES BREAST CANCER CLINICAL AUDIT (WBCCA) MDT DATA FOR PATIENTS DIAGNOSED in 2009, 2010 and 2011 Singleton Breast Cancer (ABMUHB) MDT

WBCCA 2009, 2010 AND 2011 – Singleton Hospital Data Completeness See accompanying sheet for key and calculations WBCCA 2009, 2010 AND 2011 – Singleton Hospital

Key Clinical Indicators (KCI) The Cancer National Specialist Advisory Group (NSAG) has established clinical indicators that measure best practice in the management of cancer. These are reviewed annually and those for invasive breast cancer are listed below: KCI1 Pre-operative diagnosis rate (%) in symptomatic breast cancer cases. (minimum: 90%, target 95%) KCI2 % histologically node negative patients having 1-7 nodes removed (minimum: 90%, target 95%) KCI3 % ER positive women who received adjuvant hormonal therapy (minimum: 90%, target 95%) KCI4 % of node positive women (aged <=60 years) who received adjuvant chemotherapy (minimum: 80%, target 90%) KCI5 % of patients who had breast conservation surgery for invasive breast cancer having breast radiotherapy. (minimum: 90%, target 100%) WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital KCI 1 Proportion of invasive symptomatic cases with a pre-operative diagnosis (2011) target minimum WBCCA 2009, 2010 AND 2011 – Singleton Hospital

Primary treatment for invasive cancers (2011)   No. invasive cases Primary surgical treatment Non-surgical treatment Unknown BRONGLAIS GENERAL HOSPITAL 35 27 6 2 GLAN CLWYD CANCER SERVICES 120 105 13 LLANDUDNO GENERAL HOSPITAL 269 242 NEATH PORT TALBOT HOSPITAL 157 145 10 NEVILL HALL HOSPITAL 97 77 20 PRINCE CHARLES HOSPITAL 55 19 1 PRINCE PHILIP HOSPITAL 185 142 36 7 PRINCESS OF WALES HOSPITAL 25 5 ROYAL GLAMORGAN HOSPITAL 215 179 30 ROYAL GWENT HOSPITAL 211 161 47 3 SINGLETON HOSPITAL 240 205 34 LLANDOUGH HOSPITAL 309 264 39 WITHYBUSH GENERAL HOSPITAL 92 69 17 YSBYTY MAELOR WREXHAM 208 166 38 4 ALL WALES 2218 1824 349 45 WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital Variation by hospital in mastectomy rates for all surgically treated invasive breast cancers (2011, all tumour sizes). WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 –Singleton Hospital KCI 2: Variation in the number of nodes removed by hospital from women surgically treated for node negative invasive breast cancers (2011) target minimum WBCCA 2009, 2010 AND 2011 –Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital Variation in recording of axillary clearance in surgically treated women with histologically node-negative invasive breast cancer (2011) Axillary clearance % Total BRONGLAIS GENERAL HOSPITAL 15 100.0% GLAN CLWYD CANCER SERVICES 9 14.5% 62 LLANDUDNO GENERAL HOSPITAL 17 11.6% 146 NEATH PORT TALBOT HOSPITAL 12.7% 71 NEVILL HALL HOSPITAL 6 12.5% 48 PRINCE CHARLES HOSPITAL 4 22.2% 18 PRINCE PHILIP HOSPITAL 20.7% 87 PRINCESS OF WALES HOSPITAL 0.0% 1 ROYAL GLAMORGAN HOSPITAL 13 10.4% 125 ROYAL GWENT HOSPITAL 7 8.4% 83 SINGLETON HOSPITAL 4.3% 139 LLANDOUGH HOSPITAL 3.7% 161 WITHYBUSH GENERAL HOSPITAL 3.0% 33 YSBYTY MAELOR WREXHAM 11 10.6% 104 ALL WALES 122 11.2% 1093 WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital Variation in clearance of margins by hospital for invasive breast cancers following final surgery by breast conservation (2009-2011) WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital KCI 5: Variation in radiotherapy given after conservative surgery for invasive breast cancers (2009-2011) target minimum WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital Variation by hospital in age of invasive breast cancers receiving no radiotherapy after conservative surgery (2009-2011) 2009-2011 DATA <65 % 65+ BRONGLAIS GENERAL HOSPITAL 0.0% 4 50.0% GLAN CLWYD CANCER SERVICES 16 16.7% 11 13.8% LLANDUDNO GENERAL HOSPITAL 39 14.5% 18 10.2% NEATH PORT TALBOT HOSPITAL 14 8.1% 7 7.1% NEVILL HALL HOSPITAL 5 4.5% 7.3% PRINCE CHARLES HOSPITAL 3 12.5% PRINCE PHILIP HOSPITAL 10.7% 10 10.4% PRINCESS OF WALES HOSPITAL ROYAL GLAMORGAN HOSPITAL 5.9% 6.5% ROYAL GWENT HOSPITAL 17 10.6% SINGLETON HOSPITAL 19 7.2% 8 6.8% LLANDOUGH HOSPITAL 12 4.0% 4.8% WITHYBUSH GENERAL HOSPITAL 3.6% 19.0% YSBYTY MAELOR WREXHAM 24 ALL WALES 186 8.6% 121 9.9% WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital KCI 3: patients with invasive ER positive breast cancer receiving adjuvant hormone therapy (2011) target minimum WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital KCI 4: Variation by hospital of node positive invasive cases, under 61 years of age, receiving chemotherapy following surgery (2009-2011) target minimum WBCCA 2009, 2010 AND 2011 – Singleton Hospital

WBCCA 2009, 2010 AND 2011 – Singleton Hospital Variation in ER and HER-2 negative breast cancers receiving chemotherapy (2011) WBCCA 2009, 2010 AND 2011 – Singleton Hospital

Further information and feedback Full report on Cancer NSAG website DN: add link For audit queries and feedback contact clinical leads, information leads, analysts or cancer NSAG colorectal group representatives via Louise.Carrington@wales.nhs.uk For Network resources to help improve outcomes contact: SOUTH WALES CANCER NETWORK (SWCN) Hywel.Morgan2@wales.nhs.uk. Tom.Crosby@Wales.NHS.UK NORTH WALES CANCER NETWORK (NWCN) Damian.Heron@Wales.NHS.UK Caroline.Williams@Wales.NHS.UK Cancer NSAG Breast group Dr Kate Gower Thomas (Chair) Radiologist Dr Peter Barrett-Lee (Deputy Chair) Clinical Oncologist Prof Robert Mansel Surgeon Mr Ian Monypenny Mr Rhodri Williams Dr Andy Gash Radiologist Dr Nick Dallimore Histopathologist Rosemary Fox Deputy Director of Screening Dr Gianfilippo Bertelli Medical Oncologist Sue Brady Nurse Mr Walid Samra NWCN Tumour Site Lead Mr Simon Holt SWCN Tumour Site Lead Dr Jacinta Abraham SWCN Tumour Site Deputy WBCCA 2009, 2010 AND 2011 – Singleton Hospital