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
• Age Specific Genetic Testing for Lynch Syndrome

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

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	150	1524	29766
Case ascertainment (%)	95	112	90
Data completeness of:
– Pre-treatment TNM (%)	58	86	83
– Performance status (%)	54	75	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	83	730	16499
ASA grade 1 (%)	13	9	10
ASA grade 2 (%)	47	58	53
ASA grade 3 (%)	37	28	30
ASA grade 4+ (%)	0	3	3
ASA grade not recorded (%)	2	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	93	95	86

All Patients:	Trust	Network	National
Number of patients in Audit	150	1524	29766
Seen by Clinical Nurse Specialist (%)	87	92	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	31	389	7226
Undergoing major resection (%)	87	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	83	730	16474
Distant metastases (%)	1	5	6
Urgent or emergency surgery (%)	10	12	15
At least 12 lymph nodes excised (%)	92	89	84
Laparoscopic surgery attempted (%)	98	82	72
Risk-adjusted length of stay > 5 days (%)	32	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	76	553	10641
Adjuvant chemotherapy (%)	61	62	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	186	3899
Neoadjuvant therapy (%)	14	21	32
Circumferential resection margin: Recorded (%)	94	96	86
Circumferential resection margin: Negative (%)	81	82	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