This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

All Patients:	Trust	Network	National
Number of patients in Audit	135	1307	31676
Case ascertainment (%)	101	99	95
Data completeness of:
– Pre-treatment TNM (%)	72	83	80
– Performance status (%)	100	67	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	809	19218
ASA grade 1 (%)	15	16	11
ASA grade 2 (%)	62	52	53
ASA grade 3 (%)	22	21	28
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	N/A	10	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	82	86

All Patients:	Trust	Network	National
Number of patients in Audit	135	1307	31676
Seen by Clinical Nurse Specialist (%)	98	89	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	43	281	7416
Undergoing major resection (%)	86	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	809	19218
Distant metastases (%)	4	9	8
Urgent or emergency surgery (%)	5	13	15
At least 12 lymph nodes excised (%)	85	87	84
Laparoscopic surgery attempted (%)	95	80	69
Risk-adjusted length of stay > 5 days (%)	54	74	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	63	571	11837
Adjuvant chemotherapy (%)	68	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	209	4588
Neoadjuvant therapy (%)	43	55	33
Circumferential resection margin: Recorded (%)	100	84	90
Circumferential resection margin: Negative (%)	100	72	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