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
• Age Specific Genetic Testing for Lynch Syndrome

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

• Surgical services:
• On-site hepatobiliary surgical team

• Advanced disease services:
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

All Patients:	Trust	Network	National
Number of patients in Audit	295	1745	29766
Case ascertainment (%)	101	86	90
Data completeness of:
– Pre-treatment TNM (%)	69	81	83
– Performance status (%)	100	90	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	976	16499
ASA grade 1 (%)	3	14	10
ASA grade 2 (%)	60	53	53
ASA grade 3 (%)	33	30	30
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	0	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	85	86

All Patients:	Trust	Network	National
Number of patients in Audit	295	1745	29766
Seen by Clinical Nurse Specialist (%)	99	91	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	61	489	7226
Undergoing major resection (%)	85	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	976	16474
Distant metastases (%)	4	5	6
Urgent or emergency surgery (%)	10	15	15
At least 12 lymph nodes excised (%)	94	78	84
Laparoscopic surgery attempted (%)	67	70	72
Risk-adjusted length of stay > 5 days (%)	64	64	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	120	681	10641
Adjuvant chemotherapy (%)	67	52	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	55	246	3899
Neoadjuvant therapy (%)	51	30	32
Circumferential resection margin: Recorded (%)	100	81	86
Circumferential resection margin: Negative (%)	100	79	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