This trust offers the following services:

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

All Patients:	Trust	Network	National
Number of patients in Audit	136	1506	29766
Case ascertainment (%)	101	97	90
Data completeness of:
– Pre-treatment TNM (%)	99	94	83
– Performance status (%)	100	84	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	891	16499
ASA grade 1 (%)	6	10	10
ASA grade 2 (%)	63	60	53
ASA grade 3 (%)	28	28	30
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	0	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	87	86

All Patients:	Trust	Network	National
Number of patients in Audit	136	1506	29766
Seen by Clinical Nurse Specialist (%)	88	86	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	38	387	7226
Undergoing major resection (%)	87	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	891	16474
Distant metastases (%)	5	4	6
Urgent or emergency surgery (%)	18	14	15
At least 12 lymph nodes excised (%)	93	83	84
Laparoscopic surgery attempted (%)	67	66	72
Risk-adjusted length of stay > 5 days (%)	71	67	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	43	505	10641
Adjuvant chemotherapy (%)	40	55	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	18	211	3899
Neoadjuvant therapy (%)	69	42	32
Circumferential resection margin: Recorded (%)	100	80	86
Circumferential resection margin: Negative (%)	100	63	79
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