This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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

• 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

All Patients:	Trust	Network	National
Number of patients in Audit	64	437	29766
Case ascertainment (%)	91	93	90
Data completeness of:
– Pre-treatment TNM (%)	91	78	83
– Performance status (%)	100	97	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	342	16499
ASA grade 1 (%)	6	14	10
ASA grade 2 (%)	51	51	53
ASA grade 3 (%)	41	30	30
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	0	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	95	86

All Patients:	Trust	Network	National
Number of patients in Audit	64	437	29766
Seen by Clinical Nurse Specialist (%)	98	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	28	95	7226
Undergoing major resection (%)	89	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	342	16474
Distant metastases (%)	8	7	6
Urgent or emergency surgery (%)	10	13	15
At least 12 lymph nodes excised (%)	97	91	84
Laparoscopic surgery attempted (%)	51	58	72
Risk-adjusted length of stay > 5 days (%)	N/A	67	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	50	246	10641
Adjuvant chemotherapy (%)	60	67	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	75	3899
Neoadjuvant therapy (%)	25	47	32
Circumferential resection margin: Recorded (%)	100	100	86
Circumferential resection margin: Negative (%)	82	85	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