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
• Age Specific Genetic Testing for Lynch Syndrome

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

• Support service facilities:
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	80	1404	32641
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	48	78	85
– Performance status (%)	100	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	73	874	18552
ASA grade 1 (%)	4	10	9
ASA grade 2 (%)	60	53	53
ASA grade 3 (%)	36	23	30
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	14	6
Data completeness of:
7 Audit items for risk-adjustment (%)	56	78	89

All Patients:	Trust	Network	National
Number of patients in Audit	80	1381	29766
Seen by Clinical Nurse Specialist (%)	100	98	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	12	314	8157
Undergoing major resection (%)	100	87	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	73	874	18515
Distant metastases (%)	21	9	6
Urgent or emergency surgery (%)	8	13	21
At least 12 lymph nodes excised (%)	89	84	86
Laparoscopic surgery attempted (%)	63	73	71
Risk-adjusted length of stay > 5 days (%)	83	70	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	32	485	10335
Adjuvant chemotherapy (%)	56	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	191	4137
Neoadjuvant therapy (%)	20	28	34
Circumferential resection margin: Recorded (%)	100	86	90
Circumferential resection margin: Negative (%)	95	80	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	58	776	17956
APER/Hartmanns (%)	38	31	37