This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

All Patients:	Trust	Network	National
Number of patients in Audit	379	3507	29766
Case ascertainment (%)	107	97	90
Data completeness of:
– Pre-treatment TNM (%)	70	80	83
– Performance status (%)	100	86	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	221	2012	16499
ASA grade 1 (%)	17	10	10
ASA grade 2 (%)	47	50	53
ASA grade 3 (%)	33	34	30
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	1	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	88	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	379	3507	29766
Seen by Clinical Nurse Specialist (%)	68	86	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	101	854	7226
Undergoing major resection (%)	84	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	221	2012	16474
Distant metastases (%)	1	4	6
Urgent or emergency surgery (%)	23	16	15
At least 12 lymph nodes excised (%)	83	82	84
Laparoscopic surgery attempted (%)	60	74	72
Risk-adjusted length of stay > 5 days (%)	44	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	116	1187	10641
Adjuvant chemotherapy (%)	73	67	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	60	503	3899
Neoadjuvant therapy (%)	19	30	32
Circumferential resection margin: Recorded (%)	88	88	86
Circumferential resection margin: Negative (%)	88	81	79
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