This trust offers the following services:

• 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

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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	264	1059	31676
Case ascertainment (%)	129	103	95
Data completeness of:
– Pre-treatment TNM (%)	85	79	80
– Performance status (%)	95	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	640	19218
ASA grade 1 (%)	20	16	11
ASA grade 2 (%)	56	52	53
ASA grade 3 (%)	19	24	28
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	1	5	5
Data completeness of:
7 Audit items for risk-adjustment (%)	98	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	264	1059	31676
Seen by Clinical Nurse Specialist (%)	96	96	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	91	287	7416
Undergoing major resection (%)	76	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	640	19218
Distant metastases (%)	6	6	8
Urgent or emergency surgery (%)	14	12	15
At least 12 lymph nodes excised (%)	92	91	84
Laparoscopic surgery attempted (%)	86	77	69
Risk-adjusted length of stay > 5 days (%)	56	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	119	463	11837
Adjuvant chemotherapy (%)	72	61	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	148	4588
Neoadjuvant therapy (%)	30	21	33
Circumferential resection margin: Recorded (%)	100	100	90
Circumferential resection margin: Negative (%)	87	94	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