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
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	267	638	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	82	78	85
– Performance status (%)	100	94	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	462	18552
ASA grade 1 (%)	13	15	9
ASA grade 2 (%)	70	57	53
ASA grade 3 (%)	15	24	30
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	N/A	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	97	95	89

All Patients:	Trust	Network	National
Number of patients in Audit	267	638	29766
Seen by Clinical Nurse Specialist (%)	99	97	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	74	190	8157
Undergoing major resection (%)	89	93	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	462	18515
Distant metastases (%)	2	5	6
Urgent or emergency surgery (%)	10	9	21
At least 12 lymph nodes excised (%)	90	91	86
Laparoscopic surgery attempted (%)	85	67	71
Risk-adjusted length of stay > 5 days (%)	54	61	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	92	261	10335
Adjuvant chemotherapy (%)	68	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	106	4137
Neoadjuvant therapy (%)	16	43	34
Circumferential resection margin: Recorded (%)	100	100	90
Circumferential resection margin: Negative (%)	100	89	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	107	406	17956
APER/Hartmanns (%)	21	35	37