This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	111	1524	29766
Case ascertainment (%)	87	112	90
Data completeness of:
– Pre-treatment TNM (%)	75	86	83
– Performance status (%)	100	75	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	730	16499
ASA grade 1 (%)	13	9	10
ASA grade 2 (%)	60	58	53
ASA grade 3 (%)	22	28	30
ASA grade 4+ (%)	5	3	3
ASA grade not recorded (%)	0	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	95	86

All Patients:	Trust	Network	National
Number of patients in Audit	111	1524	29766
Seen by Clinical Nurse Specialist (%)	97	92	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	35	389	7226
Undergoing major resection (%)	91	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	730	16474
Distant metastases (%)	3	5	6
Urgent or emergency surgery (%)	15	12	15
At least 12 lymph nodes excised (%)	80	89	84
Laparoscopic surgery attempted (%)	90	82	72
Risk-adjusted length of stay > 5 days (%)	75	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	57	553	10641
Adjuvant chemotherapy (%)	51	62	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	186	3899
Neoadjuvant therapy (%)	33	21	32
Circumferential resection margin: Recorded (%)	100	96	86
Circumferential resection margin: Negative (%)	87	82	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