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

• Oncology services:
• On-site chemotherapy services

All Patients:	Trust	Network	National
Number of patients in Audit	161	1339	31676
Case ascertainment (%)	118	64	95
Data completeness of:
– Pre-treatment TNM (%)	86	80	80
– Performance status (%)	99	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	888	19218
ASA grade 1 (%)	16	15	11
ASA grade 2 (%)	65	51	53
ASA grade 3 (%)	16	29	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	4	3	5
Data completeness of:
7 Audit items for risk-adjustment (%)	88	84	86

All Patients:	Trust	Network	National
Number of patients in Audit	161	1339	31676
Seen by Clinical Nurse Specialist (%)	89	83	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	56	344	7416
Undergoing major resection (%)	89	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	888	19218
Distant metastases (%)	9	7	8
Urgent or emergency surgery (%)	4	11	15
At least 12 lymph nodes excised (%)	93	88	84
Laparoscopic surgery attempted (%)	80	70	69
Risk-adjusted length of stay > 5 days (%)	65	72	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	74	536	11837
Adjuvant chemotherapy (%)	64	65	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	212	4588
Neoadjuvant therapy (%)	46	33	33
Circumferential resection margin: Recorded (%)	100	86	90
Circumferential resection margin: Negative (%)	100	82	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