This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

All Patients:	Trust	Network	National
Number of patients in Audit	236	1800	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	31	72	85
– Performance status (%)	63	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	116	1090	18552
ASA grade 1 (%)	6	5	9
ASA grade 2 (%)	52	53	53
ASA grade 3 (%)	32	31	30
ASA grade 4+ (%)	3	4	2
ASA grade not recorded (%)	7	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	91	92	89

All Patients:	Trust	Network	National
Number of patients in Audit	236	1800	29766
Seen by Clinical Nurse Specialist (%)	80	92	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	392	8157
Undergoing major resection (%)	N/A	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	116	1090	18515
Distant metastases (%)	1	9	6
Urgent or emergency surgery (%)	8	18	21
At least 12 lymph nodes excised (%)	98	84	86
Laparoscopic surgery attempted (%)	52	64	71
Risk-adjusted length of stay > 5 days (%)	66	59	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	71	590	10335
Adjuvant chemotherapy (%)	69	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	239	4137
Neoadjuvant therapy (%)	19	39	34
Circumferential resection margin: Recorded (%)	100	89	90
Circumferential resection margin: Negative (%)	100	85	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	110	1102	17956
APER/Hartmanns (%)	45	44	37