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	271	543	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	73	79	85
– Performance status (%)	76	67	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	158	360	18552
ASA grade 1 (%)	9	13	9
ASA grade 2 (%)	56	54	53
ASA grade 3 (%)	31	28	30
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	3	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	96	91	89

All Patients:	Trust	Network	National
Number of patients in Audit	271	543	29766
Seen by Clinical Nurse Specialist (%)	73	73	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	52	120	8157
Undergoing major resection (%)	88	92	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	158	360	18515
Distant metastases (%)	12	8	6
Urgent or emergency surgery (%)	18	16	21
At least 12 lymph nodes excised (%)	90	88	86
Laparoscopic surgery attempted (%)	73	78	71
Risk-adjusted length of stay > 5 days (%)	N/A	79	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	49	167	10335
Adjuvant chemotherapy (%)	47	59	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	39	72	4137
Neoadjuvant therapy (%)	N/A	12	34
Circumferential resection margin: Recorded (%)	87	90	90
Circumferential resection margin: Negative (%)	87	86	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	97	219	17956
APER/Hartmanns (%)	34	27	37