This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	60	974	31676
Case ascertainment (%)	16	72	95
Data completeness of:
– Pre-treatment TNM (%)	100	84	80
– Performance status (%)	97	93	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	585	19218
ASA grade 1 (%)	41	22	11
ASA grade 2 (%)	29	50	53
ASA grade 3 (%)	27	24	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	4	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	86	86

All Patients:	Trust	Network	National
Number of patients in Audit	60	974	31676
Seen by Clinical Nurse Specialist (%)	97	95	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	19	220	7416
Undergoing major resection (%)	89	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	585	19218
Distant metastases (%)	N/A	7	8
Urgent or emergency surgery (%)	18	20	15
At least 12 lymph nodes excised (%)	0	77	84
Laparoscopic surgery attempted (%)	96	71	69
Risk-adjusted length of stay > 5 days (%)	N/A	70	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	55	417	11837
Adjuvant chemotherapy (%)	62	67	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	104	4588
Neoadjuvant therapy (%)	31	41	33
Circumferential resection margin: Recorded (%)	N/A	81	90
Circumferential resection margin: Negative (%)	N/A	74	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