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:
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	157	1215	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	82	92	85
– Performance status (%)	99	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	55	659	18552
ASA grade 1 (%)	4	7	9
ASA grade 2 (%)	58	62	53
ASA grade 3 (%)	35	23	30
ASA grade 4+ (%)	4	2	2
ASA grade not recorded (%)	N/A	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	96	93	89

All Patients:	Trust	Network	National
Number of patients in Audit	157	1215	29766
Seen by Clinical Nurse Specialist (%)	78	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	39	292	8157
Undergoing major resection (%)	74	81	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	55	659	18515
Distant metastases (%)	7	8	6
Urgent or emergency surgery (%)	24	14	21
At least 12 lymph nodes excised (%)	81	89	86
Laparoscopic surgery attempted (%)	53	75	71
Risk-adjusted length of stay > 5 days (%)	91	58	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	42	352	10335
Adjuvant chemotherapy (%)	76	58	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	152	4137
Neoadjuvant therapy (%)	17	38	34
Circumferential resection margin: Recorded (%)	N/A	98	90
Circumferential resection margin: Negative (%)	N/A	93	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	53	571	17956
APER/Hartmanns (%)	42	46	37