This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

All Patients:	Trust	Network	National
Number of patients in Audit	69	1310	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	78	80	86
– Performance status (%)	100	81	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	813	15891
ASA grade 1 (%)	2	23	8
ASA grade 2 (%)	70	41	52
ASA grade 3 (%)	29	18	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	16	7
Data completeness of:
7 Audit items for risk-adjustment (%)	83	79	87

All Patients:	Trust	Network	National
Number of patients in Audit	69	1301	28523
Seen by Clinical Nurse Specialist (%)	97	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	16	332	7393
Undergoing major resection (%)	100	87	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	813	15855
Distant metastases (%)	15	9	7
Urgent or emergency surgery (%)	14	11	20
At least 12 lymph nodes excised (%)	100	85	86
Laparoscopic surgery attempted (%)	76	66	67
Risk-adjusted length of stay > 5 days (%)	74	74	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	35	503	10794
Adjuvant chemotherapy (%)	49	58	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	170	3481
Neoadjuvant therapy (%)	18	37	38
Circumferential resection margin: Recorded (%)	100	89	89
Circumferential resection margin: Negative (%)	90	85	82
Rectal volume	21	194	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	72	891	19595
APER/Hartmanns (%)	40	31	36