This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	155	1889	31676
Case ascertainment (%)	93	106	95
Data completeness of:
– Pre-treatment TNM (%)	96	84	80
– Performance status (%)	100	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	99	1128	19218
ASA grade 1 (%)	11	10	11
ASA grade 2 (%)	44	57	53
ASA grade 3 (%)	36	28	28
ASA grade 4+ (%)	7	4	3
ASA grade not recorded (%)	1	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	91	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	155	1889	31676
Seen by Clinical Nurse Specialist (%)	91	73	87

All patients deemed potentially curative?	Trust	Network	National
Number of patients	54	503	7416
Major resection rate in potentially curative patients (%)	78	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	99	1128	19218
Distant metastases (%)	8	7	8
Urgent or emergency surgery (%)	34	24	15
At least 12 lymph nodes excised (%)	80	86	84
Laparoscopic surgery attempted (%)	61	73	69
Risk-adjusted length of stay > 5 days (%)	56	61	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	51	786	11837
Adjuvant chemotherapy (%)	61	56	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	238	4588
Neoadjuvant therapy (%)	17	22	33
Circumferential resection margin: Negative (%)	69	77	80
Circumferential resection margin: Recorded (%)	75	84	90
APER rate (%)	19	18	25