This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• On-site hepatobiliary surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Extended lymphadenectomy

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

All Patients:	Trust	Network	National
Number of patients in Audit	266	1028	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	79	83	85
– Performance status (%)	92	98	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	148	559	18552
ASA grade 1 (%)	11	14	9
ASA grade 2 (%)	34	48	53
ASA grade 3 (%)	26	28	30
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	28	8	6
Data completeness of:
7 Audit items for risk-adjustment (%)	72	87	89

All Patients:	Trust	Network	National
Number of patients in Audit	266	1028	29766
Seen by Clinical Nurse Specialist (%)	91	93	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	52	241	8157
Undergoing major resection (%)	67	76	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	148	559	18515
Distant metastases (%)	3	4	6
Urgent or emergency surgery (%)	15	12	21
At least 12 lymph nodes excised (%)	90	88	86
Laparoscopic surgery attempted (%)	53	64	71
Risk-adjusted length of stay > 5 days (%)	78	70	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	97	275	10335
Adjuvant chemotherapy (%)	63	64	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	128	4137
Neoadjuvant therapy (%)	38	42	34
Circumferential resection margin: Recorded (%)	100	93	90
Circumferential resection margin: Negative (%)	95	84	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	152	459	17956
APER/Hartmanns (%)	39	41	37