This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced MDT

All Patients:	Trust	Network	National
Number of patients in Audit	182	1037	29766
Case ascertainment (%)	99	101	90
Data completeness of:
– Pre-treatment TNM (%)	79	90	83
– Performance status (%)	98	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	92	574	16499
ASA grade 1 (%)	12	11	10
ASA grade 2 (%)	58	60	53
ASA grade 3 (%)	22	22	30
ASA grade 4+ (%)	4	2	3
ASA grade not recorded (%)	4	5	4
Data completeness of:
7 Audit items for risk-adjustment (%)	90	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	182	1037	29766
Seen by Clinical Nurse Specialist (%)	92	81	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	36	222	7226
Undergoing major resection (%)	89	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	92	574	16474
Distant metastases (%)	5	5	6
Urgent or emergency surgery (%)	14	12	15
At least 12 lymph nodes excised (%)	81	90	84
Laparoscopic surgery attempted (%)	45	69	72
Risk-adjusted length of stay > 5 days (%)	80	61	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	70	336	10641
Adjuvant chemotherapy (%)	60	57	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	126	3899
Neoadjuvant therapy (%)	47	30	32
Circumferential resection margin: Recorded (%)	95	97	86
Circumferential resection margin: Negative (%)	86	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