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	192	1033	31676
Case ascertainment (%)	111	102	95
Data completeness of:
– Pre-treatment TNM (%)	80	85	80
– Performance status (%)	99	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	580	19218
ASA grade 1 (%)	16	12	11
ASA grade 2 (%)	32	54	53
ASA grade 3 (%)	18	26	28
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	34	6	5
Data completeness of:
7 Audit items for risk-adjustment (%)	62	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	192	1033	31676
Seen by Clinical Nurse Specialist (%)	86	80	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	39	231	7416
Undergoing major resection (%)	87	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	580	19218
Distant metastases (%)	9	9	8
Urgent or emergency surgery (%)	7	13	15
At least 12 lymph nodes excised (%)	91	89	84
Laparoscopic surgery attempted (%)	52	67	69
Risk-adjusted length of stay > 5 days (%)	73	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	83	365	11837
Adjuvant chemotherapy (%)	67	59	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	140	4588
Neoadjuvant therapy (%)	52	43	33
Circumferential resection margin: Recorded (%)	95	98	90
Circumferential resection margin: Negative (%)	86	91	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