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 thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Complex vascular reconstruction

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	230	2011	29766
Case ascertainment (%)	92	99	90
Data completeness of:
– Pre-treatment TNM (%)	43	75	83
– Performance status (%)	54	77	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	162	1128	16499
ASA grade 1 (%)	10	8	10
ASA grade 2 (%)	45	48	53
ASA grade 3 (%)	30	33	30
ASA grade 4+ (%)	6	4	3
ASA grade not recorded (%)	10	8	4
Data completeness of:
7 Audit items for risk-adjustment (%)	12	77	86

All Patients:	Trust	Network	National
Number of patients in Audit	230	2011	29766
Seen by Clinical Nurse Specialist (%)	80	82	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	29	523	7226
Undergoing major resection (%)	86	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	162	1128	16474
Distant metastases (%)	4	5	6
Urgent or emergency surgery (%)	15	15	15
At least 12 lymph nodes excised (%)	14	74	84
Laparoscopic surgery attempted (%)	83	85	72
Risk-adjusted length of stay > 5 days (%)	N/A	52	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	120	692	10641
Adjuvant chemotherapy (%)	59	58	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	33	279	3899
Neoadjuvant therapy (%)	23	32	32
Circumferential resection margin: Recorded (%)	12	73	86
Circumferential resection margin: Negative (%)	12	70	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