This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• On-site thoracic surgical team

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	261	912	31676
Case ascertainment (%)	135	100	95
Data completeness of:
– Pre-treatment TNM (%)	90	89	80
– Performance status (%)	100	98	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	110	407	19218
ASA grade 1 (%)	N/A	9	11
ASA grade 2 (%)	75	61	53
ASA grade 3 (%)	24	28	28
ASA grade 4+ (%)	2	1	3
ASA grade not recorded (%)	N/A	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	94	97	86

All Patients:	Trust	Network	National
Number of patients in Audit	261	912	31676
Seen by Clinical Nurse Specialist (%)	89	92	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	63	195	7416
Undergoing major resection (%)	81	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	110	407	19218
Distant metastases (%)	4	7	8
Urgent or emergency surgery (%)	10	10	15
At least 12 lymph nodes excised (%)	68	83	84
Laparoscopic surgery attempted (%)	78	60	69
Risk-adjusted length of stay > 5 days (%)	64	65	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	82	373	11837
Adjuvant chemotherapy (%)	76	65	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	114	4588
Neoadjuvant therapy (%)	22	34	33
Circumferential resection margin: Recorded (%)	89	96	90
Circumferential resection margin: Negative (%)	68	84	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