This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	198	3656	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	30	78	85
– Performance status (%)	92	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	135	2244	18552
ASA grade 1 (%)	4	7	9
ASA grade 2 (%)	41	51	53
ASA grade 3 (%)	45	34	30
ASA grade 4+ (%)	4	3	2
ASA grade not recorded (%)	6	5	6
Data completeness of:
7 Audit items for risk-adjustment (%)	93	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	198	3656	29766
Seen by Clinical Nurse Specialist (%)	98	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	25	881	8157
Undergoing major resection (%)	92	88	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	135	2244	18515
Distant metastases (%)	7	6	6
Urgent or emergency surgery (%)	16	16	21
At least 12 lymph nodes excised (%)	90	85	86
Laparoscopic surgery attempted (%)	84	72	71
Risk-adjusted length of stay > 5 days (%)	44	58	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	75	1158	10335
Adjuvant chemotherapy (%)	59	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	538	4137
Neoadjuvant therapy (%)	32	34	34
Circumferential resection margin: Recorded (%)	88	92	90
Circumferential resection margin: Negative (%)	79	86	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	152	2151	17956
APER/Hartmanns (%)	26	33	37