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	478	1201	29766
Case ascertainment (%)	125	108	90
Data completeness of:
– Pre-treatment TNM (%)	90	81	83
– Performance status (%)	58	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	637	16499
ASA grade 1 (%)	35	18	10
ASA grade 2 (%)	44	48	53
ASA grade 3 (%)	12	26	30
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	8	5	4
Data completeness of:
7 Audit items for risk-adjustment (%)	91	94	86

All Patients:	Trust	Network	National
Number of patients in Audit	478	1201	29766
Seen by Clinical Nurse Specialist (%)	99	97	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	97	280	7226
Undergoing major resection (%)	78	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	637	16474
Distant metastases (%)	3	4	6
Urgent or emergency surgery (%)	7	11	15
At least 12 lymph nodes excised (%)	97	94	84
Laparoscopic surgery attempted (%)	84	79	72
Risk-adjusted length of stay > 5 days (%)	52	55	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	125	398	10641
Adjuvant chemotherapy (%)	55	61	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	50	174	3899
Neoadjuvant therapy (%)	14	16	32
Circumferential resection margin: Recorded (%)	98	98	86
Circumferential resection margin: Negative (%)	98	95	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