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
• Age Specific Genetic Testing for Lynch Syndrome

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	153	1550	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	81	94	85
– Performance status (%)	89	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	118	920	18552
ASA grade 1 (%)	3	14	9
ASA grade 2 (%)	41	50	53
ASA grade 3 (%)	52	33	30
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	2	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	97	97	89

All Patients:	Trust	Network	National
Number of patients in Audit	153	1546	29766
Seen by Clinical Nurse Specialist (%)	95	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	33	374	8157
Undergoing major resection (%)	88	83	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	118	920	18515
Distant metastases (%)	4	5	6
Urgent or emergency surgery (%)	15	16	21
At least 12 lymph nodes excised (%)	98	88	86
Laparoscopic surgery attempted (%)	77	61	71
Risk-adjusted length of stay > 5 days (%)	46	60	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	69	535	10335
Adjuvant chemotherapy (%)	58	56	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	184	4137
Neoadjuvant therapy (%)	40	47	34
Circumferential resection margin: Recorded (%)	100	97	90
Circumferential resection margin: Negative (%)	89	90	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	86	772	17956
APER/Hartmanns (%)	41	45	37