This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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	50	1614	31676
Case ascertainment (%)	51	102	95
Data completeness of:
– Pre-treatment TNM (%)	96	82	80
– Performance status (%)	92	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	971	19218
ASA grade 1 (%)	5	6	11
ASA grade 2 (%)	71	61	53
ASA grade 3 (%)	14	31	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	10	N/A	5
Data completeness of:
7 Audit items for risk-adjustment (%)	86	90	86

All Patients:	Trust	Network	National
Number of patients in Audit	50	1614	31676
Seen by Clinical Nurse Specialist (%)	100	87	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	11	369	7416
Undergoing major resection (%)	100	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	971	19218
Distant metastases (%)	0	4	8
Urgent or emergency surgery (%)	0	13	15
At least 12 lymph nodes excised (%)	N/A	87	84
Laparoscopic surgery attempted (%)	85	77	69
Risk-adjusted length of stay > 5 days (%)	61	58	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	40	656	11837
Adjuvant chemotherapy (%)	68	62	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	252	4588
Neoadjuvant therapy (%)	14	26	33
Circumferential resection margin: Recorded (%)	95	84	90
Circumferential resection margin: Negative (%)	79	75	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