This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• Routine 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	246	1912	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	93	92	85
– Performance status (%)	100	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	962	18552
ASA grade 1 (%)	15	13	9
ASA grade 2 (%)	48	56	53
ASA grade 3 (%)	32	28	30
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	92	94	89

All Patients:	Trust	Network	National
Number of patients in Audit	246	1912	29766
Seen by Clinical Nurse Specialist (%)	85	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	56	493	8157
Undergoing major resection (%)	82	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	962	18515
Distant metastases (%)	5	5	6
Urgent or emergency surgery (%)	14	18	21
At least 12 lymph nodes excised (%)	89	87	86
Laparoscopic surgery attempted (%)	76	79	71
Risk-adjusted length of stay > 5 days (%)	56	56	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	109	613	10335
Adjuvant chemotherapy (%)	56	56	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	199	4137
Neoadjuvant therapy (%)	38	16	34
Circumferential resection margin: Recorded (%)	74	91	90
Circumferential resection margin: Negative (%)	74	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	118	928	17956
APER/Hartmanns (%)	7	29	37