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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

All Patients:	Trust	Network	National
Number of patients in Audit	70	974	31676
Case ascertainment (%)	115	72	95
Data completeness of:
– Pre-treatment TNM (%)	96	84	80
– Performance status (%)	97	93	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	42	585	19218
ASA grade 1 (%)	5	22	11
ASA grade 2 (%)	43	50	53
ASA grade 3 (%)	48	24	28
ASA grade 4+ (%)	2	2	3
ASA grade not recorded (%)	2	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	90	86	86

All Patients:	Trust	Network	National
Number of patients in Audit	70	974	31676
Seen by Clinical Nurse Specialist (%)	100	95	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	11	220	7416
Undergoing major resection (%)	91	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	42	585	19218
Distant metastases (%)	5	7	8
Urgent or emergency surgery (%)	12	20	15
At least 12 lymph nodes excised (%)	91	77	84
Laparoscopic surgery attempted (%)	83	71	69
Risk-adjusted length of stay > 5 days (%)	48	70	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	48	417	11837
Adjuvant chemotherapy (%)	69	67	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	10	104	4588
Neoadjuvant therapy (%)	46	41	33
Circumferential resection margin: Recorded (%)	90	81	90
Circumferential resection margin: Negative (%)	90	74	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