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	83	461	29766
Case ascertainment (%)	108	76	90
Data completeness of:
– Pre-treatment TNM (%)	95	84	83
– Performance status (%)	93	98	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	51	291	16499
ASA grade 1 (%)	2	10	10
ASA grade 2 (%)	35	46	53
ASA grade 3 (%)	53	38	30
ASA grade 4+ (%)	2	4	3
ASA grade not recorded (%)	8	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	88	85	86

All Patients:	Trust	Network	National
Number of patients in Audit	83	461	29766
Seen by Clinical Nurse Specialist (%)	100	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	14	102	7226
Undergoing major resection (%)	100	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	51	291	16474
Distant metastases (%)	2	3	6
Urgent or emergency surgery (%)	6	20	15
At least 12 lymph nodes excised (%)	90	81	84
Laparoscopic surgery attempted (%)	78	76	72
Risk-adjusted length of stay > 5 days (%)	49	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	36	164	10641
Adjuvant chemotherapy (%)	72	67	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	62	3899
Neoadjuvant therapy (%)	N/A	61	32
Circumferential resection margin: Recorded (%)	N/A	84	86
Circumferential resection margin: Negative (%)	N/A	77	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