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 thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Complex vascular reconstruction

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	277	2111	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	94	87	85
– Performance status (%)	60	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	1131	18552
ASA grade 1 (%)	11	9	9
ASA grade 2 (%)	40	48	53
ASA grade 3 (%)	24	34	30
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	23	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	74	92	89

All Patients:	Trust	Network	National
Number of patients in Audit	277	2111	29766
Seen by Clinical Nurse Specialist (%)	58	79	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	77	589	8157
Undergoing major resection (%)	75	81	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	1131	18515
Distant metastases (%)	10	5	6
Urgent or emergency surgery (%)	12	16	21
At least 12 lymph nodes excised (%)	92	87	86
Laparoscopic surgery attempted (%)	78	83	71
Risk-adjusted length of stay > 5 days (%)	35	51	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	91	705	10335
Adjuvant chemotherapy (%)	67	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	38	266	4137
Neoadjuvant therapy (%)	44	42	34
Circumferential resection margin: Recorded (%)	95	92	90
Circumferential resection margin: Negative (%)	92	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	159	1207	17956
APER/Hartmanns (%)	42	39	37