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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

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

All Patients:	Trust	Network	National
Number of patients in Audit	293	1998	29766
Case ascertainment (%)	114	110	90
Data completeness of:
– Pre-treatment TNM (%)	85	91	83
– Performance status (%)	29	83	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	73	1117	16499
ASA grade 1 (%)	5	7	10
ASA grade 2 (%)	60	51	53
ASA grade 3 (%)	14	37	30
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	19	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	71	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	293	1998	29766
Seen by Clinical Nurse Specialist (%)	55	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	56	429	7226
Undergoing major resection (%)	82	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	73	1117	16474
Distant metastases (%)	16	10	6
Urgent or emergency surgery (%)	32	19	15
At least 12 lymph nodes excised (%)	90	87	84
Laparoscopic surgery attempted (%)	64	56	72
Risk-adjusted length of stay > 5 days (%)	42	68	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	57	603	10641
Adjuvant chemotherapy (%)	74	68	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	266	3899
Neoadjuvant therapy (%)	N/A	5	32
Circumferential resection margin: Recorded (%)	91	93	86
Circumferential resection margin: Negative (%)	86	86	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