This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

All Patients:	Trust	Network	National
Number of patients in Audit	181	2000	31676
Case ascertainment (%)	88	103	95
Data completeness of:
– Pre-treatment TNM (%)	91	77	80
– Performance status (%)	35	81	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	116	1222	19218
ASA grade 1 (%)	5	14	11
ASA grade 2 (%)	27	42	53
ASA grade 3 (%)	19	33	28
ASA grade 4+ (%)	2	4	3
ASA grade not recorded (%)	47	7	5
Data completeness of:
7 Audit items for risk-adjustment (%)	41	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	181	2000	31676
Seen by Clinical Nurse Specialist (%)	77	89	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	61	510	7416
Undergoing major resection (%)	77	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	116	1222	19218
Distant metastases (%)	13	8	8
Urgent or emergency surgery (%)	18	15	15
At least 12 lymph nodes excised (%)	61	88	84
Laparoscopic surgery attempted (%)	94	83	69
Risk-adjusted length of stay > 5 days (%)	65	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	61	813	11837
Adjuvant chemotherapy (%)	46	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	283	4588
Neoadjuvant therapy (%)	36	36	33
Circumferential resection margin: Recorded (%)	70	91	90
Circumferential resection margin: Negative (%)	65	87	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