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	90	495	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	89	85
– Performance status (%)	88	93	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	319	18552
ASA grade 1 (%)	N/A	10	9
ASA grade 2 (%)	37	53	53
ASA grade 3 (%)	22	26	30
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	41	8	6
Data completeness of:
7 Audit items for risk-adjustment (%)	59	83	89

All Patients:	Trust	Network	National
Number of patients in Audit	90	495	29766
Seen by Clinical Nurse Specialist (%)	99	97	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	20	132	8157
Undergoing major resection (%)	85	92	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	319	18515
Distant metastases (%)	4	5	6
Urgent or emergency surgery (%)	12	21	21
At least 12 lymph nodes excised (%)	96	87	86
Laparoscopic surgery attempted (%)	78	72	71
Risk-adjusted length of stay > 5 days (%)	52	61	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	40	178	10335
Adjuvant chemotherapy (%)	70	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	56	4137
Neoadjuvant therapy (%)	N/A	46	34
Circumferential resection margin: Recorded (%)	N/A	79	90
Circumferential resection margin: Negative (%)	N/A	73	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	31	215	17956
APER/Hartmanns (%)	45	33	37