This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

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

All Patients:	Trust	Network	National
Number of patients in Audit	157	1033	31676
Case ascertainment (%)	113	102	95
Data completeness of:
– Pre-treatment TNM (%)	96	85	80
– Performance status (%)	100	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	580	19218
ASA grade 1 (%)	13	12	11
ASA grade 2 (%)	54	54	53
ASA grade 3 (%)	32	26	28
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	N/A	6	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	157	1033	31676
Seen by Clinical Nurse Specialist (%)	87	80	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	45	231	7416
Undergoing major resection (%)	80	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	580	19218
Distant metastases (%)	10	9	8
Urgent or emergency surgery (%)	14	13	15
At least 12 lymph nodes excised (%)	82	89	84
Laparoscopic surgery attempted (%)	76	67	69
Risk-adjusted length of stay > 5 days (%)	64	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	51	365	11837
Adjuvant chemotherapy (%)	63	59	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	140	4588
Neoadjuvant therapy (%)	52	43	33
Circumferential resection margin: Recorded (%)	100	98	90
Circumferential resection margin: Negative (%)	88	91	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