This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• Routine Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	129	1475	31676
Case ascertainment (%)	89	96	95
Data completeness of:
– Pre-treatment TNM (%)	96	88	80
– Performance status (%)	100	76	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	88	893	19218
ASA grade 1 (%)	9	8	11
ASA grade 2 (%)	70	64	53
ASA grade 3 (%)	19	24	28
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	N/A	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	94	86

All Patients:	Trust	Network	National
Number of patients in Audit	129	1475	31676
Seen by Clinical Nurse Specialist (%)	94	95	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	45	412	7416
Undergoing major resection (%)	84	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	88	893	19218
Distant metastases (%)	5	6	8
Urgent or emergency surgery (%)	9	11	15
At least 12 lymph nodes excised (%)	81	88	84
Laparoscopic surgery attempted (%)	83	82	69
Risk-adjusted length of stay > 5 days (%)	55	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	68	614	11837
Adjuvant chemotherapy (%)	56	57	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	18	246	4588
Neoadjuvant therapy (%)	8	22	33
Circumferential resection margin: Recorded (%)	94	96	90
Circumferential resection margin: Negative (%)	56	84	80
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