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

All Patients:	Trust	Network	National
Number of patients in Audit	141	3626	31676
Case ascertainment (%)	63	101	95
Data completeness of:
– Pre-treatment TNM (%)	82	71	80
– Performance status (%)	88	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	2090	19218
ASA grade 1 (%)	14	13	11
ASA grade 2 (%)	54	52	53
ASA grade 3 (%)	31	30	28
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	N/A	3	5
Data completeness of:
7 Audit items for risk-adjustment (%)	99	83	86

All Patients:	Trust	Network	National
Number of patients in Audit	141	3626	31676
Seen by Clinical Nurse Specialist (%)	82	86	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	33	756	7416
Undergoing major resection (%)	88	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	2090	19218
Distant metastases (%)	5	8	8
Urgent or emergency surgery (%)	25	14	15
At least 12 lymph nodes excised (%)	82	79	84
Laparoscopic surgery attempted (%)	62	75	69
Risk-adjusted length of stay > 5 days (%)	51	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	60	1337	11837
Adjuvant chemotherapy (%)	55	55	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	533	4588
Neoadjuvant therapy (%)	4	25	33
Circumferential resection margin: Recorded (%)	100	88	90
Circumferential resection margin: Negative (%)	100	80	80
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