This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy 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
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	243	912	31676
Case ascertainment (%)	99	100	95
Data completeness of:
– Pre-treatment TNM (%)	92	89	80
– Performance status (%)	100	98	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	407	19218
ASA grade 1 (%)	13	9	11
ASA grade 2 (%)	51	61	53
ASA grade 3 (%)	33	28	28
ASA grade 4+ (%)	1	1	3
ASA grade not recorded (%)	2	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	97	97	86

All Patients:	Trust	Network	National
Number of patients in Audit	243	912	31676
Seen by Clinical Nurse Specialist (%)	91	92	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	43	195	7416
Undergoing major resection (%)	77	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	407	19218
Distant metastases (%)	9	7	8
Urgent or emergency surgery (%)	14	10	15
At least 12 lymph nodes excised (%)	90	83	84
Laparoscopic surgery attempted (%)	52	60	69
Risk-adjusted length of stay > 5 days (%)	66	65	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	127	373	11837
Adjuvant chemotherapy (%)	61	65	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	114	4588
Neoadjuvant therapy (%)	49	34	33
Circumferential resection margin: Recorded (%)	96	96	90
Circumferential resection margin: Negative (%)	90	84	80
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