This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	171	2077	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	87	83	85
– Performance status (%)	98	92	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	89	1166	18552
ASA grade 1 (%)	3	10	9
ASA grade 2 (%)	37	54	53
ASA grade 3 (%)	54	33	30
ASA grade 4+ (%)	6	2	2
ASA grade not recorded (%)	N/A	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	99	88	89

All Patients:	Trust	Network	National
Number of patients in Audit	171	2077	29766
Seen by Clinical Nurse Specialist (%)	88	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	32	610	8157
Undergoing major resection (%)	84	83	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	89	1166	18515
Distant metastases (%)	6	4	6
Urgent or emergency surgery (%)	17	20	21
At least 12 lymph nodes excised (%)	89	83	86
Laparoscopic surgery attempted (%)	85	74	71
Risk-adjusted length of stay > 5 days (%)	61	53	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	56	637	10335
Adjuvant chemotherapy (%)	36	55	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	253	4137
Neoadjuvant therapy (%)	3	32	34
Circumferential resection margin: Recorded (%)	97	88	90
Circumferential resection margin: Negative (%)	97	85	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	85	1175	17956
APER/Hartmanns (%)	40	32	37