This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• Routine 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 MDT
• Dedicated Specialist Advanced Outpatient Clinic

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	242	1201	29766
Case ascertainment (%)	89	108	90
Data completeness of:
– Pre-treatment TNM (%)	98	81	83
– Performance status (%)	100	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	637	16499
ASA grade 1 (%)	0	18	10
ASA grade 2 (%)	66	48	53
ASA grade 3 (%)	29	26	30
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	3	5	4
Data completeness of:
7 Audit items for risk-adjustment (%)	97	94	86

All Patients:	Trust	Network	National
Number of patients in Audit	242	1201	29766
Seen by Clinical Nurse Specialist (%)	100	97	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	69	280	7226
Undergoing major resection (%)	80	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	637	16474
Distant metastases (%)	4	4	6
Urgent or emergency surgery (%)	11	11	15
At least 12 lymph nodes excised (%)	95	94	84
Laparoscopic surgery attempted (%)	87	79	72
Risk-adjusted length of stay > 5 days (%)	49	55	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	83	398	10641
Adjuvant chemotherapy (%)	60	61	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	174	3899
Neoadjuvant therapy (%)	28	16	32
Circumferential resection margin: Recorded (%)	100	98	86
Circumferential resection margin: Negative (%)	95	95	79
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