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

• Oncology services:
• On-site chemotherapy services

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	312	1412	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	89	87	85
– Performance status (%)	94	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	176	868	18552
ASA grade 1 (%)	5	8	9
ASA grade 2 (%)	49	55	53
ASA grade 3 (%)	42	29	30
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	2	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	91	88	89

All Patients:	Trust	Network	National
Number of patients in Audit	312	1412	29766
Seen by Clinical Nurse Specialist (%)	88	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	78	344	8157
Undergoing major resection (%)	83	85	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	176	868	18515
Distant metastases (%)	7	6	6
Urgent or emergency surgery (%)	13	12	21
At least 12 lymph nodes excised (%)	87	89	86
Laparoscopic surgery attempted (%)	75	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	108	430	10335
Adjuvant chemotherapy (%)	58	61	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	35	198	4137
Neoadjuvant therapy (%)	25	17	34
Circumferential resection margin: Recorded (%)	97	86	90
Circumferential resection margin: Negative (%)	83	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	201	819	17956
APER/Hartmanns (%)	51	36	37