This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	129	1550	32641
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	94	85
– Performance status (%)	71	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	920	18552
ASA grade 1 (%)	10	14	9
ASA grade 2 (%)	61	50	53
ASA grade 3 (%)	29	33	30
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	86	97	89

All Patients:	Trust	Network	National
Number of patients in Audit	129	1546	29766
Seen by Clinical Nurse Specialist (%)	73	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	56	374	8157
Undergoing major resection (%)	84	83	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	920	18515
Distant metastases (%)	2	5	6
Urgent or emergency surgery (%)	6	16	21
At least 12 lymph nodes excised (%)	74	88	86
Laparoscopic surgery attempted (%)	64	61	71
Risk-adjusted length of stay > 5 days (%)	36	60	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	50	535	10335
Adjuvant chemotherapy (%)	48	56	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	184	4137
Neoadjuvant therapy (%)	N/A	47	34
Circumferential resection margin: Recorded (%)	N/A	97	90
Circumferential resection margin: Negative (%)	N/A	90	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	34	772	17956
APER/Hartmanns (%)	35	45	37