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:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	263	919	29766
Case ascertainment (%)	98	98	90
Data completeness of:
– Pre-treatment TNM (%)	98	90	83
– Performance status (%)	100	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	188	585	16499
ASA grade 1 (%)	6	3	10
ASA grade 2 (%)	45	31	53
ASA grade 3 (%)	48	34	30
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	0	29	4
Data completeness of:
7 Audit items for risk-adjustment (%)	93	67	86

All Patients:	Trust	Network	National
Number of patients in Audit	263	919	29766
Seen by Clinical Nurse Specialist (%)	100	80	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	53	216	7226
Undergoing major resection (%)	87	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	188	585	16474
Distant metastases (%)	5	6	6
Urgent or emergency surgery (%)	28	18	15
At least 12 lymph nodes excised (%)	77	85	84
Laparoscopic surgery attempted (%)	57	51	72
Risk-adjusted length of stay > 5 days (%)	73	63	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	99	336	10641
Adjuvant chemotherapy (%)	58	63	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	154	3899
Neoadjuvant therapy (%)	46	47	32
Circumferential resection margin: Recorded (%)	86	90	86
Circumferential resection margin: Negative (%)	71	82	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