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	129	1670	29766
Case ascertainment (%)	78	90	90
Data completeness of:
– Pre-treatment TNM (%)	81	88	83
– Performance status (%)	62	95	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	964	16499
ASA grade 1 (%)	64	14	10
ASA grade 2 (%)	11	56	53
ASA grade 3 (%)	10	26	30
ASA grade 4+ (%)	0	3	3
ASA grade not recorded (%)	15	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	85	92	86

All Patients:	Trust	Network	National
Number of patients in Audit	129	1670	29766
Seen by Clinical Nurse Specialist (%)	83	80	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	39	477	7226
Undergoing major resection (%)	79	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	964	16474
Distant metastases (%)	2	7	6
Urgent or emergency surgery (%)	21	18	15
At least 12 lymph nodes excised (%)	89	83	84
Laparoscopic surgery attempted (%)	90	76	72
Risk-adjusted length of stay > 5 days (%)	20	60	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	48	667	10641
Adjuvant chemotherapy (%)	63	57	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	216	3899
Neoadjuvant therapy (%)	6	25	32
Circumferential resection margin: Recorded (%)	100	93	86
Circumferential resection margin: Negative (%)	90	84	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