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

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	139	1493	31676
Case ascertainment (%)	109	96	95
Data completeness of:
– Pre-treatment TNM (%)	83	83	80
– Performance status (%)	94	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	75	910	19218
ASA grade 1 (%)	3	9	11
ASA grade 2 (%)	39	56	53
ASA grade 3 (%)	52	30	28
ASA grade 4+ (%)	7	3	3
ASA grade not recorded (%)	N/A	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	96	89	86

All Patients:	Trust	Network	National
Number of patients in Audit	139	1493	31676
Seen by Clinical Nurse Specialist (%)	97	93	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	28	342	7416
Undergoing major resection (%)	96	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	75	910	19218
Distant metastases (%)	13	10	8
Urgent or emergency surgery (%)	13	15	15
At least 12 lymph nodes excised (%)	87	79	84
Laparoscopic surgery attempted (%)	60	57	69
Risk-adjusted length of stay > 5 days (%)	57	67	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	44	623	11837
Adjuvant chemotherapy (%)	68	57	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	194	4588
Neoadjuvant therapy (%)	N/A	55	33
Circumferential resection margin: Recorded (%)	100	94	90
Circumferential resection margin: Negative (%)	82	85	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