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

• Support service facilities:
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	120	1578	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	83	87	85
– Performance status (%)	98	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	824	18552
ASA grade 1 (%)	10	8	9
ASA grade 2 (%)	58	51	53
ASA grade 3 (%)	21	26	30
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	10	12	6
Data completeness of:
7 Audit items for risk-adjustment (%)	90	86	89

All Patients:	Trust	Network	National
Number of patients in Audit	120	1578	29766
Seen by Clinical Nurse Specialist (%)	96	95	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	42	436	8157
Undergoing major resection (%)	71	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	824	18515
Distant metastases (%)	2	5	6
Urgent or emergency surgery (%)	21	11	21
At least 12 lymph nodes excised (%)	100	90	86
Laparoscopic surgery attempted (%)	89	80	71
Risk-adjusted length of stay > 5 days (%)	42	52	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	42	510	10335
Adjuvant chemotherapy (%)	76	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	187	4137
Neoadjuvant therapy (%)	N/A	26	34
Circumferential resection margin: Recorded (%)	N/A	92	90
Circumferential resection margin: Negative (%)	N/A	79	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	60	942	17956
APER/Hartmanns (%)	28	26	37