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

All Patients:	Trust	Network	National
Number of patients in Audit	153	2077	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	93	83	85
– Performance status (%)	97	92	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	92	1166	18552
ASA grade 1 (%)	N/A	10	9
ASA grade 2 (%)	21	54	53
ASA grade 3 (%)	63	33	30
ASA grade 4+ (%)	12	2	2
ASA grade not recorded (%)	4	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	14	88	89

All Patients:	Trust	Network	National
Number of patients in Audit	153	2077	29766
Seen by Clinical Nurse Specialist (%)	99	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	49	610	8157
Undergoing major resection (%)	90	83	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	92	1166	18515
Distant metastases (%)	13	4	6
Urgent or emergency surgery (%)	22	20	21
At least 12 lymph nodes excised (%)	15	83	86
Laparoscopic surgery attempted (%)	55	74	71
Risk-adjusted length of stay > 5 days (%)	N/A	53	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	637	10335
Adjuvant chemotherapy (%)	N/A	55	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	253	4137
Neoadjuvant therapy (%)	29	32	34
Circumferential resection margin: Recorded (%)	5	88	90
Circumferential resection margin: Negative (%)	5	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	79	1175	17956
APER/Hartmanns (%)	47	32	37