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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	220	906	31676
Case ascertainment (%)	95	105	95
Data completeness of:
– Pre-treatment TNM (%)	98	84	80
– Performance status (%)	100	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	165	572	19218
ASA grade 1 (%)	7	3	11
ASA grade 2 (%)	36	26	53
ASA grade 3 (%)	37	27	28
ASA grade 4+ (%)	5	5	3
ASA grade not recorded (%)	15	38	5
Data completeness of:
7 Audit items for risk-adjustment (%)	81	59	86

All Patients:	Trust	Network	National
Number of patients in Audit	220	906	31676
Seen by Clinical Nurse Specialist (%)	95	76	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	64	220	7416
Undergoing major resection (%)	89	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	165	572	19218
Distant metastases (%)	4	9	8
Urgent or emergency surgery (%)	22	18	15
At least 12 lymph nodes excised (%)	82	82	84
Laparoscopic surgery attempted (%)	55	46	69
Risk-adjusted length of stay > 5 days (%)	70	64	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	106	371	11837
Adjuvant chemotherapy (%)	55	64	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	137	4588
Neoadjuvant therapy (%)	43	47	33
Circumferential resection margin: Recorded (%)	88	88	90
Circumferential resection margin: Negative (%)	65	70	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