This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) 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	202	912	31676
Case ascertainment (%)	89	100	95
Data completeness of:
– Pre-treatment TNM (%)	77	89	80
– Performance status (%)	94	98	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	139	407	19218
ASA grade 1 (%)	13	9	11
ASA grade 2 (%)	62	61	53
ASA grade 3 (%)	25	28	28
ASA grade 4+ (%)	N/A	1	3
ASA grade not recorded (%)	N/A	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	99	97	86

All Patients:	Trust	Network	National
Number of patients in Audit	202	912	31676
Seen by Clinical Nurse Specialist (%)	98	92	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	53	195	7416
Undergoing major resection (%)	94	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	139	407	19218
Distant metastases (%)	7	7	8
Urgent or emergency surgery (%)	6	10	15
At least 12 lymph nodes excised (%)	88	83	84
Laparoscopic surgery attempted (%)	53	60	69
Risk-adjusted length of stay > 5 days (%)	65	65	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	99	373	11837
Adjuvant chemotherapy (%)	52	65	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	38	114	4588
Neoadjuvant therapy (%)	26	34	33
Circumferential resection margin: Recorded (%)	100	96	90
Circumferential resection margin: Negative (%)	89	84	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