This trust offers the following services:

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

All Patients:	Trust	Network	National
Number of patients in Audit	149	1412	32641
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	88	87	85
– Performance status (%)	83	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	868	18552
ASA grade 1 (%)	5	8	9
ASA grade 2 (%)	39	55	53
ASA grade 3 (%)	17	29	30
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	37	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	62	88	89

All Patients:	Trust	Network	National
Number of patients in Audit	149	1412	29766
Seen by Clinical Nurse Specialist (%)	99	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	44	344	8157
Undergoing major resection (%)	93	85	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	868	18515
Distant metastases (%)	5	6	6
Urgent or emergency surgery (%)	10	12	21
At least 12 lymph nodes excised (%)	99	89	86
Laparoscopic surgery attempted (%)	91	83	71
Risk-adjusted length of stay > 5 days (%)	48	56	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	430	10335
Adjuvant chemotherapy (%)	65	61	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	198	4137
Neoadjuvant therapy (%)	17	17	34
Circumferential resection margin: Recorded (%)	91	86	90
Circumferential resection margin: Negative (%)	88	80	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	118	819	17956
APER/Hartmanns (%)	36	36	37