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
• Routine Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

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

• Advanced disease services:
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	336	1059	31676
Case ascertainment (%)	97	103	95
Data completeness of:
– Pre-treatment TNM (%)	88	79	80
– Performance status (%)	59	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	185	640	19218
ASA grade 1 (%)	30	16	11
ASA grade 2 (%)	46	52	53
ASA grade 3 (%)	15	24	28
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	9	5	5
Data completeness of:
7 Audit items for risk-adjustment (%)	90	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	336	1059	31676
Seen by Clinical Nurse Specialist (%)	100	96	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	98	287	7416
Undergoing major resection (%)	90	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	185	640	19218
Distant metastases (%)	2	6	8
Urgent or emergency surgery (%)	5	12	15
At least 12 lymph nodes excised (%)	94	91	84
Laparoscopic surgery attempted (%)	85	77	69
Risk-adjusted length of stay > 5 days (%)	56	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	137	463	11837
Adjuvant chemotherapy (%)	59	61	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	38	148	4588
Neoadjuvant therapy (%)	24	21	33
Circumferential resection margin: Recorded (%)	100	100	90
Circumferential resection margin: Negative (%)	100	94	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