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
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Complex vascular reconstruction
• Extended lymphadenectomy

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	205	1028	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	79	83	85
– Performance status (%)	100	98	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	559	18552
ASA grade 1 (%)	4	14	9
ASA grade 2 (%)	52	48	53
ASA grade 3 (%)	38	28	30
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	4	8	6
Data completeness of:
7 Audit items for risk-adjustment (%)	86	87	89

All Patients:	Trust	Network	National
Number of patients in Audit	205	1028	29766
Seen by Clinical Nurse Specialist (%)	93	93	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	48	241	8157
Undergoing major resection (%)	67	76	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	559	18515
Distant metastases (%)	4	4	6
Urgent or emergency surgery (%)	14	12	21
At least 12 lymph nodes excised (%)	79	88	86
Laparoscopic surgery attempted (%)	88	64	71
Risk-adjusted length of stay > 5 days (%)	67	70	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	16	275	10335
Adjuvant chemotherapy (%)	75	64	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	128	4137
Neoadjuvant therapy (%)	65	42	34
Circumferential resection margin: Recorded (%)	96	93	90
Circumferential resection margin: Negative (%)	78	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	68	459	17956
APER/Hartmanns (%)	35	41	37