This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	130	1889	31676
Case ascertainment (%)	76	106	95
Data completeness of:
– Pre-treatment TNM (%)	53	84	80
– Performance status (%)	17	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	1128	19218
ASA grade 1 (%)	12	10	11
ASA grade 2 (%)	61	57	53
ASA grade 3 (%)	24	28	28
ASA grade 4+ (%)	3	4	3
ASA grade not recorded (%)	N/A	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	89	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	130	1889	31676
Seen by Clinical Nurse Specialist (%)	88	73	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	25	503	7416
Undergoing major resection (%)	92	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	1128	19218
Distant metastases (%)	11	7	8
Urgent or emergency surgery (%)	24	24	15
At least 12 lymph nodes excised (%)	92	86	84
Laparoscopic surgery attempted (%)	92	73	69
Risk-adjusted length of stay > 5 days (%)	21	61	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	51	786	11837
Adjuvant chemotherapy (%)	61	56	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	238	4588
Neoadjuvant therapy (%)	14	22	33
Circumferential resection margin: Recorded (%)	100	84	90
Circumferential resection margin: Negative (%)	82	77	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