This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• On-site thoracic surgical team

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

All Patients:	Trust	Network	National
Number of patients in Audit	343	3507	29766
Case ascertainment (%)	90	97	90
Data completeness of:
– Pre-treatment TNM (%)	79	80	83
– Performance status (%)	97	86	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	215	2012	16499
ASA grade 1 (%)	6	10	10
ASA grade 2 (%)	51	50	53
ASA grade 3 (%)	40	34	30
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	0	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	93	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	343	3507	29766
Seen by Clinical Nurse Specialist (%)	98	86	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	80	854	7226
Undergoing major resection (%)	95	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	215	2012	16474
Distant metastases (%)	3	4	6
Urgent or emergency surgery (%)	12	16	15
At least 12 lymph nodes excised (%)	86	82	84
Laparoscopic surgery attempted (%)	93	74	72
Risk-adjusted length of stay > 5 days (%)	63	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	121	1187	10641
Adjuvant chemotherapy (%)	64	67	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	503	3899
Neoadjuvant therapy (%)	38	30	32
Circumferential resection margin: Recorded (%)	98	88	86
Circumferential resection margin: Negative (%)	91	81	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