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:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	184	1578	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	79	87	85
– Performance status (%)	56	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	824	18552
ASA grade 1 (%)	14	8	9
ASA grade 2 (%)	21	51	53
ASA grade 3 (%)	6	26	30
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	59	12	6
Data completeness of:
7 Audit items for risk-adjustment (%)	38	86	89

All Patients:	Trust	Network	National
Number of patients in Audit	184	1578	29766
Seen by Clinical Nurse Specialist (%)	93	95	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	52	436	8157
Undergoing major resection (%)	87	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	824	18515
Distant metastases (%)	3	5	6
Urgent or emergency surgery (%)	7	11	21
At least 12 lymph nodes excised (%)	87	90	86
Laparoscopic surgery attempted (%)	95	80	71
Risk-adjusted length of stay > 5 days (%)	33	52	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	67	510	10335
Adjuvant chemotherapy (%)	63	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	18	187	4137
Neoadjuvant therapy (%)	25	26	34
Circumferential resection margin: Recorded (%)	83	92	90
Circumferential resection margin: Negative (%)	67	79	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	64	942	17956
APER/Hartmanns (%)	28	26	37