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	262	1215	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	89	92	85
– Performance status (%)	99	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	659	18552
ASA grade 1 (%)	9	7	9
ASA grade 2 (%)	60	62	53
ASA grade 3 (%)	21	23	30
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	9	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	88	93	89

All Patients:	Trust	Network	National
Number of patients in Audit	262	1215	29766
Seen by Clinical Nurse Specialist (%)	94	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	79	292	8157
Undergoing major resection (%)	85	81	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	659	18515
Distant metastases (%)	8	8	6
Urgent or emergency surgery (%)	7	14	21
At least 12 lymph nodes excised (%)	88	89	86
Laparoscopic surgery attempted (%)	66	75	71
Risk-adjusted length of stay > 5 days (%)	62	58	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	57	352	10335
Adjuvant chemotherapy (%)	60	58	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	152	4137
Neoadjuvant therapy (%)	43	38	34
Circumferential resection margin: Recorded (%)	96	98	90
Circumferential resection margin: Negative (%)	96	93	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	105	571	17956
APER/Hartmanns (%)	46	46	37