This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site MRI liver facilities

• Oncology services:
• On-site chemotherapy services

• 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	118	1641	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	80	85
– Performance status (%)	98	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	51	881	18552
ASA grade 1 (%)	6	8	9
ASA grade 2 (%)	67	59	53
ASA grade 3 (%)	22	29	30
ASA grade 4+ (%)	4	2	2
ASA grade not recorded (%)	2	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	82	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	118	1641	29766
Seen by Clinical Nurse Specialist (%)	99	83	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	36	416	8157
Undergoing major resection (%)	72	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	51	881	18515
Distant metastases (%)	2	5	6
Urgent or emergency surgery (%)	16	13	21
At least 12 lymph nodes excised (%)	79	87	86
Laparoscopic surgery attempted (%)	82	76	71
Risk-adjusted length of stay > 5 days (%)	46	51	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	36	541	10335
Adjuvant chemotherapy (%)	75	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	199	4137
Neoadjuvant therapy (%)	33	28	34
Circumferential resection margin: Recorded (%)	45	82	90
Circumferential resection margin: Negative (%)	36	74	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	65	1018	17956
APER/Hartmanns (%)	38	30	37