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

• 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	86	1526	31676
Case ascertainment (%)	85	91	95
Data completeness of:
– Pre-treatment TNM (%)	95	91	80
– Performance status (%)	84	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	925	19218
ASA grade 1 (%)	11	11	11
ASA grade 2 (%)	54	57	53
ASA grade 3 (%)	32	28	28
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	N/A	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	3	89	86

All Patients:	Trust	Network	National
Number of patients in Audit	86	1526	31676
Seen by Clinical Nurse Specialist (%)	99	90	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	21	401	7416
Undergoing major resection (%)	52	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	925	19218
Distant metastases (%)	0	7	8
Urgent or emergency surgery (%)	5	11	15
At least 12 lymph nodes excised (%)	5	84	84
Laparoscopic surgery attempted (%)	41	62	69
Risk-adjusted length of stay > 5 days (%)	N/A	66	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	612	11837
Adjuvant chemotherapy (%)	50	56	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	196	4588
Neoadjuvant therapy (%)	7	41	33
Circumferential resection margin: Recorded (%)	N/A	78	90
Circumferential resection margin: Negative (%)	N/A	60	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