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
• Availability of 24 hour palliative care advice
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	241	1641	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	80	85
– Performance status (%)	88	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	145	881	18552
ASA grade 1 (%)	6	8	9
ASA grade 2 (%)	57	59	53
ASA grade 3 (%)	34	29	30
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	1	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	99	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	241	1641	29766
Seen by Clinical Nurse Specialist (%)	66	83	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	69	416	8157
Undergoing major resection (%)	77	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	145	881	18515
Distant metastases (%)	3	5	6
Urgent or emergency surgery (%)	17	13	21
At least 12 lymph nodes excised (%)	94	87	86
Laparoscopic surgery attempted (%)	74	76	71
Risk-adjusted length of stay > 5 days (%)	56	51	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	118	541	10335
Adjuvant chemotherapy (%)	64	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	199	4137
Neoadjuvant therapy (%)	21	28	34
Circumferential resection margin: Recorded (%)	96	82	90
Circumferential resection margin: Negative (%)	88	74	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	167	1018	17956
APER/Hartmanns (%)	26	30	37