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	303	3626	31676
Case ascertainment (%)	101	101	95
Data completeness of:
– Pre-treatment TNM (%)	61	71	80
– Performance status (%)	100	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	212	2090	19218
ASA grade 1 (%)	5	13	11
ASA grade 2 (%)	56	52	53
ASA grade 3 (%)	38	30	28
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	N/A	3	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	83	86

All Patients:	Trust	Network	National
Number of patients in Audit	303	3626	31676
Seen by Clinical Nurse Specialist (%)	99	86	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	42	756	7416
Undergoing major resection (%)	76	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	212	2090	19218
Distant metastases (%)	13	8	8
Urgent or emergency surgery (%)	14	14	15
At least 12 lymph nodes excised (%)	97	79	84
Laparoscopic surgery attempted (%)	58	75	69
Risk-adjusted length of stay > 5 days (%)	68	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	151	1337	11837
Adjuvant chemotherapy (%)	66	55	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	533	4588
Neoadjuvant therapy (%)	57	25	33
Circumferential resection margin: Recorded (%)	100	88	90
Circumferential resection margin: Negative (%)	98	80	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