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:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	237	579	31676
Case ascertainment (%)	100	80	95
Data completeness of:
– Pre-treatment TNM (%)	82	69	80
– Performance status (%)	100	99	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	446	19218
ASA grade 1 (%)	13	12	11
ASA grade 2 (%)	62	53	53
ASA grade 3 (%)	24	28	28
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	N/A	6	5
Data completeness of:
7 Audit items for risk-adjustment (%)	99	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	237	579	31676
Seen by Clinical Nurse Specialist (%)	97	98	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	68	134	7416
Undergoing major resection (%)	90	93	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	446	19218
Distant metastases (%)	8	7	8
Urgent or emergency surgery (%)	17	12	15
At least 12 lymph nodes excised (%)	93	94	84
Laparoscopic surgery attempted (%)	68	64	69
Risk-adjusted length of stay > 5 days (%)	56	62	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	120	303	11837
Adjuvant chemotherapy (%)	81	73	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	100	4588
Neoadjuvant therapy (%)	18	45	33
Circumferential resection margin: Recorded (%)	100	99	90
Circumferential resection margin: Negative (%)	96	88	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