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

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	67	543	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	87	79	85
– Performance status (%)	99	67	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	44	360	18552
ASA grade 1 (%)	45	13	9
ASA grade 2 (%)	55	54	53
ASA grade 3 (%)	N/A	28	30
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	89	91	89

All Patients:	Trust	Network	National
Number of patients in Audit	67	543	29766
Seen by Clinical Nurse Specialist (%)	99	73	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	16	120	8157
Undergoing major resection (%)	94	92	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	44	360	18515
Distant metastases (%)	13	8	6
Urgent or emergency surgery (%)	11	16	21
At least 12 lymph nodes excised (%)	90	88	86
Laparoscopic surgery attempted (%)	70	78	71
Risk-adjusted length of stay > 5 days (%)	94	79	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	29	167	10335
Adjuvant chemotherapy (%)	69	59	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	72	4137
Neoadjuvant therapy (%)	N/A	12	34
Circumferential resection margin: Recorded (%)	N/A	90	90
Circumferential resection margin: Negative (%)	N/A	86	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	29	219	17956
APER/Hartmanns (%)	31	27	37