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
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	383	3656	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	43	78	85
– Performance status (%)	36	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	226	2244	18552
ASA grade 1 (%)	14	7	9
ASA grade 2 (%)	50	51	53
ASA grade 3 (%)	18	34	30
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	19	5	6
Data completeness of:
7 Audit items for risk-adjustment (%)	80	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	383	3656	29766
Seen by Clinical Nurse Specialist (%)	75	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	45	881	8157
Undergoing major resection (%)	96	88	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	226	2244	18515
Distant metastases (%)	3	6	6
Urgent or emergency surgery (%)	10	16	21
At least 12 lymph nodes excised (%)	89	85	86
Laparoscopic surgery attempted (%)	45	72	71
Risk-adjusted length of stay > 5 days (%)	N/A	58	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	114	1158	10335
Adjuvant chemotherapy (%)	63	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	55	538	4137
Neoadjuvant therapy (%)	65	34	34
Circumferential resection margin: Recorded (%)	96	92	90
Circumferential resection margin: Negative (%)	96	86	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	169	2151	17956
APER/Hartmanns (%)	27	33	37