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	96	461	29766
Case ascertainment (%)	39	76	90
Data completeness of:
– Pre-treatment TNM (%)	94	84	83
– Performance status (%)	98	98	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	291	16499
ASA grade 1 (%)	16	10	10
ASA grade 2 (%)	41	46	53
ASA grade 3 (%)	36	38	30
ASA grade 4+ (%)	5	4	3
ASA grade not recorded (%)	1	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	61	85	86

All Patients:	Trust	Network	National
Number of patients in Audit	96	461	29766
Seen by Clinical Nurse Specialist (%)	98	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	28	102	7226
Undergoing major resection (%)	89	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	291	16474
Distant metastases (%)	2	3	6
Urgent or emergency surgery (%)	23	20	15
At least 12 lymph nodes excised (%)	49	81	84
Laparoscopic surgery attempted (%)	89	76	72
Risk-adjusted length of stay > 5 days (%)	65	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	18	164	10641
Adjuvant chemotherapy (%)	56	67	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	62	3899
Neoadjuvant therapy (%)	20	61	32
Circumferential resection margin: Recorded (%)	60	84	86
Circumferential resection margin: Negative (%)	53	77	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