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
• Routine Genetic Testing for Lynch Syndrome

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

• Surgical services:
• On-site hepatobiliary surgical team

• Advanced disease services:
• Dedicated Specialist Advanced MDT

All Patients:	Trust	Network	National
Number of patients in Audit	116	407	29766
Case ascertainment (%)	40	69	90
Data completeness of:
– Pre-treatment TNM (%)	62	72	83
– Performance status (%)	92	71	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	254	16499
ASA grade 1 (%)	14	28	10
ASA grade 2 (%)	59	55	53
ASA grade 3 (%)	24	13	30
ASA grade 4+ (%)	3	1	3
ASA grade not recorded (%)	0	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	93	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	116	407	29766
Seen by Clinical Nurse Specialist (%)	89	78	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	23	76	7226
Undergoing major resection (%)	96	92	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	254	16474
Distant metastases (%)	10	9	6
Urgent or emergency surgery (%)	9	20	15
At least 12 lymph nodes excised (%)	75	83	84
Laparoscopic surgery attempted (%)	62	77	72
Risk-adjusted length of stay > 5 days (%)	75	78	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	61	172	10641
Adjuvant chemotherapy (%)	56	64	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	12	35	3899
Neoadjuvant therapy (%)	33	24	32
Circumferential resection margin: Recorded (%)	92	91	86
Circumferential resection margin: Negative (%)	83	89	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