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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	104	1497	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	96	85
– Performance status (%)	98	94	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	62	826	18552
ASA grade 1 (%)	11	11	9
ASA grade 2 (%)	63	57	53
ASA grade 3 (%)	24	28	30
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	N/A	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	2	88	89

All Patients:	Trust	Network	National
Number of patients in Audit	104	1497	29766
Seen by Clinical Nurse Specialist (%)	94	92	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	28	384	8157
Undergoing major resection (%)	82	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	62	826	18515
Distant metastases (%)	N/A	4	6
Urgent or emergency surgery (%)	26	16	21
At least 12 lymph nodes excised (%)	2	83	86
Laparoscopic surgery attempted (%)	42	69	71
Risk-adjusted length of stay > 5 days (%)	N/A	61	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	490	10335
Adjuvant chemotherapy (%)	N/A	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	157	4137
Neoadjuvant therapy (%)	7	35	34
Circumferential resection margin: Recorded (%)	N/A	85	90
Circumferential resection margin: Negative (%)	N/A	79	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	57	815	17956
APER/Hartmanns (%)	42	35	37