This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT

All Patients:	Trust	Network	National
Number of patients in Audit	180	1998	29766
Case ascertainment (%)	103	110	90
Data completeness of:
– Pre-treatment TNM (%)	98	91	83
– Performance status (%)	98	83	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	117	1117	16499
ASA grade 1 (%)	3	7	10
ASA grade 2 (%)	41	51	53
ASA grade 3 (%)	50	37	30
ASA grade 4+ (%)	5	3	3
ASA grade not recorded (%)	0	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	180	1998	29766
Seen by Clinical Nurse Specialist (%)	98	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	49	429	7226
Undergoing major resection (%)	92	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	117	1117	16474
Distant metastases (%)	15	10	6
Urgent or emergency surgery (%)	16	19	15
At least 12 lymph nodes excised (%)	96	87	84
Laparoscopic surgery attempted (%)	68	56	72
Risk-adjusted length of stay > 5 days (%)	82	68	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	37	603	10641
Adjuvant chemotherapy (%)	68	68	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	266	3899
Neoadjuvant therapy (%)	N/A	5	32
Circumferential resection margin: Recorded (%)	100	93	86
Circumferential resection margin: Negative (%)	83	86	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