This trust offers the following services:

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

• Advanced disease services:
• Extended lymphadenectomy

• 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	171	1339	31676
Case ascertainment (%)	82	64	95
Data completeness of:
– Pre-treatment TNM (%)	88	80	80
– Performance status (%)	76	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	117	888	19218
ASA grade 1 (%)	10	15	11
ASA grade 2 (%)	50	51	53
ASA grade 3 (%)	34	29	28
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	3	3	5
Data completeness of:
7 Audit items for risk-adjustment (%)	96	84	86

All Patients:	Trust	Network	National
Number of patients in Audit	171	1339	31676
Seen by Clinical Nurse Specialist (%)	77	83	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	42	344	7416
Undergoing major resection (%)	98	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	117	888	19218
Distant metastases (%)	4	7	8
Urgent or emergency surgery (%)	10	11	15
At least 12 lymph nodes excised (%)	90	88	84
Laparoscopic surgery attempted (%)	73	70	69
Risk-adjusted length of stay > 5 days (%)	79	72	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	69	536	11837
Adjuvant chemotherapy (%)	67	65	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	212	4588
Neoadjuvant therapy (%)	24	33	33
Circumferential resection margin: Recorded (%)	75	86	90
Circumferential resection margin: Negative (%)	75	82	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