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

• Surgical services:
• Robotic surgery

• 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	309	1455	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	94	88	85
– Performance status (%)	95	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	192	848	18552
ASA grade 1 (%)	18	9	9
ASA grade 2 (%)	60	58	53
ASA grade 3 (%)	19	25	30
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	1	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	94	92	89

All Patients:	Trust	Network	National
Number of patients in Audit	309	1455	29766
Seen by Clinical Nurse Specialist (%)	96	85	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	71	380	8157
Undergoing major resection (%)	79	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	192	848	18515
Distant metastases (%)	9	9	6
Urgent or emergency surgery (%)	19	18	21
At least 12 lymph nodes excised (%)	81	87	86
Laparoscopic surgery attempted (%)	83	79	71
Risk-adjusted length of stay > 5 days (%)	65	66	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	106	425	10335
Adjuvant chemotherapy (%)	71	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	183	4137
Neoadjuvant therapy (%)	56	59	34
Circumferential resection margin: Recorded (%)	82	92	90
Circumferential resection margin: Negative (%)	71	82	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	159	811	17956
APER/Hartmanns (%)	27	33	37