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	248	862	29766
Case ascertainment (%)	94	90	90
Data completeness of:
– Pre-treatment TNM (%)	82	87	83
– Performance status (%)	98	99	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	139	394	16499
ASA grade 1 (%)	11	7	10
ASA grade 2 (%)	46	60	53
ASA grade 3 (%)	36	29	30
ASA grade 4+ (%)	1	1	3
ASA grade not recorded (%)	6	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	91	96	86

All Patients:	Trust	Network	National
Number of patients in Audit	248	862	29766
Seen by Clinical Nurse Specialist (%)	95	93	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	55	228	7226
Undergoing major resection (%)	69	81	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	139	394	16474
Distant metastases (%)	7	8	6
Urgent or emergency surgery (%)	17	11	15
At least 12 lymph nodes excised (%)	95	90	84
Laparoscopic surgery attempted (%)	53	60	72
Risk-adjusted length of stay > 5 days (%)	64	62	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	100	277	10641
Adjuvant chemotherapy (%)	58	63	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	33	102	3899
Neoadjuvant therapy (%)	34	38	32
Circumferential resection margin: Recorded (%)	88	95	86
Circumferential resection margin: Negative (%)	79	86	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