This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	230	1094	29766
Case ascertainment (%)	97	63	90
Data completeness of:
– Pre-treatment TNM (%)	95	92	83
– Performance status (%)	83	85	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	613	16499
ASA grade 1 (%)	6	5	10
ASA grade 2 (%)	61	59	53
ASA grade 3 (%)	30	30	30
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	0	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	82	86

All Patients:	Trust	Network	National
Number of patients in Audit	230	1094	29766
Seen by Clinical Nurse Specialist (%)	90	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	54	292	7226
Undergoing major resection (%)	91	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	613	16474
Distant metastases (%)	4	6	6
Urgent or emergency surgery (%)	14	13	15
At least 12 lymph nodes excised (%)	88	77	84
Laparoscopic surgery attempted (%)	77	78	72
Risk-adjusted length of stay > 5 days (%)	57	53	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	121	561	10641
Adjuvant chemotherapy (%)	65	65	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	142	3899
Neoadjuvant therapy (%)	19	22	32
Circumferential resection margin: Recorded (%)	95	76	86
Circumferential resection margin: Negative (%)	89	72	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