Hywel Dda University Health Board

South Wales Cancer Centre, Welsh Region

The Hywel Dda University Health Board provides NHS services throughout Carmarthenshire, Ceredigion and Pembrokeshire http://www.hywelddahb.wales.nhs.uk/

Management of High Grade Dysplasia patients

Welsh Region National
Number of High Grade Dysplasia patients in audit N/A 1597
Welsh Region National
Method of Diagnosis
– First diagnosis confirmed by second pathologist N/A 87.1%
Treatment planning
– HGD plan discussed at MDT N/A 85.8%
– Treatment plan for active treatment N/A 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) N/A 69.6%
– Surveillance N/A 12.8%
– No active treatment or surveillance N/A 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 179 21417
Case ascertainment for OG cancer (%) 75-84%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
42 27.6% 12.9%
– Patients with referral source reported as unknown 20 11.2% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 168 95.5% 87.3%
Treatment planning
– Patients having a plan for curative treatment 47 26.3% 37.9%
– Patients having a plan for non-curative treatment 132 73.7% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 71 53.8% 48.2%

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