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	386	3656	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	86	78	85
– Performance status (%)	100	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	230	2244	18552
ASA grade 1 (%)	11	7	9
ASA grade 2 (%)	55	51	53
ASA grade 3 (%)	31	34	30
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	N/A	5	6
Data completeness of:
7 Audit items for risk-adjustment (%)	90	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	386	3656	29766
Seen by Clinical Nurse Specialist (%)	75	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	121	881	8157
Undergoing major resection (%)	90	88	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	230	2244	18515
Distant metastases (%)	6	6	6
Urgent or emergency surgery (%)	29	16	21
At least 12 lymph nodes excised (%)	85	85	86
Laparoscopic surgery attempted (%)	42	72	71
Risk-adjusted length of stay > 5 days (%)	53	58	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	137	1158	10335
Adjuvant chemotherapy (%)	74	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	538	4137
Neoadjuvant therapy (%)	34	34	34
Circumferential resection margin: Recorded (%)	92	92	90
Circumferential resection margin: Negative (%)	90	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	212	2151	17956
APER/Hartmanns (%)	41	33	37