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	116	1326	29766
Case ascertainment (%)	96	101	90
Data completeness of:
– Pre-treatment TNM (%)	97	78	83
– Performance status (%)	97	54	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	769	16499
ASA grade 1 (%)	4	12	10
ASA grade 2 (%)	24	52	53
ASA grade 3 (%)	27	20	30
ASA grade 4+ (%)	0	2	3
ASA grade not recorded (%)	45	14	4
Data completeness of:
7 Audit items for risk-adjustment (%)	55	69	86

All Patients:	Trust	Network	National
Number of patients in Audit	116	1326	29766
Seen by Clinical Nurse Specialist (%)	94	80	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	769	16474
Distant metastases (%)	11	10	6
Urgent or emergency surgery (%)	0	13	15
At least 12 lymph nodes excised (%)	93	72	84
Laparoscopic surgery attempted (%)	92	82	72
Risk-adjusted length of stay > 5 days (%)	59	71	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	182	3899
Neoadjuvant therapy (%)	53	50	32
Circumferential resection margin: Negative (%)	100	63	79
Circumferential resection margin: Recorded (%)	100	69	86
APER rate (%)	33	23	24