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
• On-site External Beam Radiotherapy services

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	344	2189	31676
Case ascertainment (%)	101	98	95
Data completeness of:
– Pre-treatment TNM (%)	69	66	80
– Performance status (%)	58	74	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	185	1282	19218
ASA grade 1 (%)	15	7	11
ASA grade 2 (%)	47	53	53
ASA grade 3 (%)	16	29	28
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	22	8	5
Data completeness of:
7 Audit items for risk-adjustment (%)	78	87	86

All Patients:	Trust	Network	National
Number of patients in Audit	344	2189	31676
Seen by Clinical Nurse Specialist (%)	60	80	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	60	405	7416
Undergoing major resection (%)	82	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	185	1282	19218
Distant metastases (%)	6	8	8
Urgent or emergency surgery (%)	16	15	15
At least 12 lymph nodes excised (%)	93	88	84
Laparoscopic surgery attempted (%)	45	61	69
Risk-adjusted length of stay > 5 days (%)	71	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	144	817	11837
Adjuvant chemotherapy (%)	68	67	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	36	313	4588
Neoadjuvant therapy (%)	25	38	33
Circumferential resection margin: Recorded (%)	100	96	90
Circumferential resection margin: Negative (%)	97	90	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