This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• Routine Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced MDT

All Patients:	Trust	Network	National
Number of patients in Audit	122	1307	31676
Case ascertainment (%)	100	99	95
Data completeness of:
– Pre-treatment TNM (%)	99	83	80
– Performance status (%)	100	67	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	67	809	19218
ASA grade 1 (%)	10	16	11
ASA grade 2 (%)	51	52	53
ASA grade 3 (%)	25	21	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	13	10	5
Data completeness of:
7 Audit items for risk-adjustment (%)	87	82	86

All Patients:	Trust	Network	National
Number of patients in Audit	122	1307	31676
Seen by Clinical Nurse Specialist (%)	89	89	87

All patients deemed potentially curative?	Trust	Network	National
Number of patients	40	281	7416
Major resection rate in potentially curative patients (%)	82	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	67	809	19218
Distant metastases (%)	3	9	8
Urgent or emergency surgery (%)	3	13	15
At least 12 lymph nodes excised (%)	100	87	84
Laparoscopic surgery attempted (%)	94	80	69
Risk-adjusted length of stay > 5 days (%)	62	74	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	62	571	11837
Adjuvant chemotherapy (%)	52	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	209	4588
Neoadjuvant therapy (%)	63	55	33
Circumferential resection margin: Negative (%)	75	72	80
Circumferential resection margin: Recorded (%)	88	84	90
APER rate (%)	50	22	25