This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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 MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	125	579	31676
Case ascertainment (%)	89	80	95
Data completeness of:
– Pre-treatment TNM (%)	78	69	80
– Performance status (%)	98	99	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	91	446	19218
ASA grade 1 (%)	7	12	11
ASA grade 2 (%)	56	53	53
ASA grade 3 (%)	31	28	28
ASA grade 4+ (%)	5	2	3
ASA grade not recorded (%)	1	6	5
Data completeness of:
7 Audit items for risk-adjustment (%)	82	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	125	579	31676
Seen by Clinical Nurse Specialist (%)	99	98	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	38	134	7416
Undergoing major resection (%)	95	93	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	91	446	19218
Distant metastases (%)	8	7	8
Urgent or emergency surgery (%)	1	12	15
At least 12 lymph nodes excised (%)	97	94	84
Laparoscopic surgery attempted (%)	69	64	69
Risk-adjusted length of stay > 5 days (%)	54	62	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	59	303	11837
Adjuvant chemotherapy (%)	59	73	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	100	4588
Neoadjuvant therapy (%)	55	45	33
Circumferential resection margin: Recorded (%)	100	99	90
Circumferential resection margin: Negative (%)	94	88	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