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	132	1933	31676
Case ascertainment (%)	100	110	95
Data completeness of:
– Pre-treatment TNM (%)	85	89	80
– Performance status (%)	95	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	89	1220	19218
ASA grade 1 (%)	1	9	11
ASA grade 2 (%)	63	59	53
ASA grade 3 (%)	35	30	28
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	N/A	N/A	5
Data completeness of:
7 Audit items for risk-adjustment (%)	87	92	86

All Patients:	Trust	Network	National
Number of patients in Audit	132	1933	31676
Seen by Clinical Nurse Specialist (%)	88	80	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	42	434	7416
Undergoing major resection (%)	90	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	89	1220	19218
Distant metastases (%)	13	10	8
Urgent or emergency surgery (%)	19	19	15
At least 12 lymph nodes excised (%)	85	85	84
Laparoscopic surgery attempted (%)	45	52	69
Risk-adjusted length of stay > 5 days (%)	83	68	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	N/A	11837
Adjuvant chemotherapy (%)	N/A	N/A	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	291	4588
Neoadjuvant therapy (%)	67	30	33
Circumferential resection margin: Recorded (%)	81	91	90
Circumferential resection margin: Negative (%)	69	86	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