This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	180	1506	29766
Case ascertainment (%)	125	97	90
Data completeness of:
– Pre-treatment TNM (%)	100	94	83
– Performance status (%)	100	84	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	114	891	16499
ASA grade 1 (%)	19	10	10
ASA grade 2 (%)	61	60	53
ASA grade 3 (%)	18	28	30
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	0	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	87	86

All Patients:	Trust	Network	National
Number of patients in Audit	180	1506	29766
Seen by Clinical Nurse Specialist (%)	97	86	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	67	387	7226
Undergoing major resection (%)	81	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	114	891	16474
Distant metastases (%)	3	4	6
Urgent or emergency surgery (%)	17	14	15
At least 12 lymph nodes excised (%)	91	83	84
Laparoscopic surgery attempted (%)	57	66	72
Risk-adjusted length of stay > 5 days (%)	66	67	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	55	505	10641
Adjuvant chemotherapy (%)	65	55	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	211	3899
Neoadjuvant therapy (%)	41	42	32
Circumferential resection margin: Recorded (%)	100	80	86
Circumferential resection margin: Negative (%)	82	63	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