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

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	193	1547	29766
Case ascertainment (%)	101	102	90
Data completeness of:
– Pre-treatment TNM (%)	72	83	83
– Performance status (%)	86	89	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	908	16499
ASA grade 1 (%)	3	14	10
ASA grade 2 (%)	62	51	53
ASA grade 3 (%)	35	32	30
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	0	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	86	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	193	1547	29766
Seen by Clinical Nurse Specialist (%)	83	93	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	37	382	7226
Undergoing major resection (%)	81	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	908	16474
Distant metastases (%)	13	7	6
Urgent or emergency surgery (%)	21	20	15
At least 12 lymph nodes excised (%)	90	85	84
Laparoscopic surgery attempted (%)	44	62	72
Risk-adjusted length of stay > 5 days (%)	79	66	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	71	539	10641
Adjuvant chemotherapy (%)	54	57	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	192	3899
Neoadjuvant therapy (%)	13	55	32
Circumferential resection margin: Recorded (%)	88	92	86
Circumferential resection margin: Negative (%)	88	85	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