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 hepatobiliary surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1245	29766
Case ascertainment (%)	N/A	87	90
Data completeness of:
– Pre-treatment TNM (%)	N/A	86	83
– Performance status (%)	N/A	97	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	720	16499
ASA grade 1 (%)	0	9	10
ASA grade 2 (%)	56	58	53
ASA grade 3 (%)	29	29	30
ASA grade 4+ (%)	0	2	3
ASA grade not recorded (%)	15	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	79	68	86

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1245	29766
Seen by Clinical Nurse Specialist (%)	N/A	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	324	7226
Undergoing major resection (%)	N/A	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	720	16474
Distant metastases (%)	21	6	6
Urgent or emergency surgery (%)	3	13	15
At least 12 lymph nodes excised (%)	100	68	84
Laparoscopic surgery attempted (%)	15	62	72
Risk-adjusted length of stay > 5 days (%)	90	72	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	470	10641
Adjuvant chemotherapy (%)	N/A	58	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	18	159	3899
Neoadjuvant therapy (%)	86	24	32
Circumferential resection margin: Recorded (%)	83	69	86
Circumferential resection margin: Negative (%)	83	62	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