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	173	1475	31676
Case ascertainment (%)	100	96	95
Data completeness of:
– Pre-treatment TNM (%)	68	88	80
– Performance status (%)	76	76	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	105	893	19218
ASA grade 1 (%)	11	8	11
ASA grade 2 (%)	56	64	53
ASA grade 3 (%)	27	24	28
ASA grade 4+ (%)	5	2	3
ASA grade not recorded (%)	1	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	94	94	86

All Patients:	Trust	Network	National
Number of patients in Audit	173	1475	31676
Seen by Clinical Nurse Specialist (%)	87	95	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	48	412	7416
Undergoing major resection (%)	92	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	105	893	19218
Distant metastases (%)	10	6	8
Urgent or emergency surgery (%)	10	11	15
At least 12 lymph nodes excised (%)	88	88	84
Laparoscopic surgery attempted (%)	98	82	69
Risk-adjusted length of stay > 5 days (%)	33	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	72	614	11837
Adjuvant chemotherapy (%)	67	57	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	246	4588
Neoadjuvant therapy (%)	14	22	33
Circumferential resection margin: Recorded (%)	92	96	90
Circumferential resection margin: Negative (%)	92	84	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