This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	133	1037	29766
Case ascertainment (%)	105	101	90
Data completeness of:
– Pre-treatment TNM (%)	77	90	83
– Performance status (%)	100	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	574	16499
ASA grade 1 (%)	7	11	10
ASA grade 2 (%)	56	60	53
ASA grade 3 (%)	29	22	30
ASA grade 4+ (%)	0	2	3
ASA grade not recorded (%)	8	5	4
Data completeness of:
7 Audit items for risk-adjustment (%)	92	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	133	1037	29766
Seen by Clinical Nurse Specialist (%)	74	81	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	30	222	7226
Undergoing major resection (%)	67	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	574	16474
Distant metastases (%)	2	5	6
Urgent or emergency surgery (%)	8	12	15
At least 12 lymph nodes excised (%)	89	90	84
Laparoscopic surgery attempted (%)	39	69	72
Risk-adjusted length of stay > 5 days (%)	88	61	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	35	336	10641
Adjuvant chemotherapy (%)	83	57	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	126	3899
Neoadjuvant therapy (%)	31	30	32
Circumferential resection margin: Recorded (%)	100	97	86
Circumferential resection margin: Negative (%)	100	91	79
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	N/A	N/A	N/A
APER/Hartmanns (%)	N/A	N/A	N/A