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	131	1253	29766
Case ascertainment (%)	56	74	90
Data completeness of:
– Pre-treatment TNM (%)	82	85	83
– Performance status (%)	97	96	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	651	16499
ASA grade 1 (%)	10	8	10
ASA grade 2 (%)	52	62	53
ASA grade 3 (%)	31	26	30
ASA grade 4+ (%)	2	2	3
ASA grade not recorded (%)	5	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	87	85	86

All Patients:	Trust	Network	National
Number of patients in Audit	131	1253	29766
Seen by Clinical Nurse Specialist (%)	80	91	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	28	315	7226
Undergoing major resection (%)	89	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	651	16474
Distant metastases (%)	2	5	6
Urgent or emergency surgery (%)	26	15	15
At least 12 lymph nodes excised (%)	93	80	84
Laparoscopic surgery attempted (%)	88	86	72
Risk-adjusted length of stay > 5 days (%)	57	55	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	40	417	10641
Adjuvant chemotherapy (%)	58	58	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	173	3899
Neoadjuvant therapy (%)	24	17	32
Circumferential resection margin: Recorded (%)	93	88	86
Circumferential resection margin: Negative (%)	89	86	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