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
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1339	31676
Case ascertainment (%)	N/A	64	95
Data completeness of:
– Pre-treatment TNM (%)	N/A	80	80
– Performance status (%)	N/A	85	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	888	19218
ASA grade 1 (%)	N/A	15	11
ASA grade 2 (%)	63	51	53
ASA grade 3 (%)	33	29	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	5	3	5
Data completeness of:
7 Audit items for risk-adjustment (%)	95	84	86

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1339	31676
Seen by Clinical Nurse Specialist (%)	N/A	83	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	344	7416
Undergoing major resection (%)	N/A	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	888	19218
Distant metastases (%)	14	7	8
Urgent or emergency surgery (%)	7	11	15
At least 12 lymph nodes excised (%)	100	88	84
Laparoscopic surgery attempted (%)	37	70	69
Risk-adjusted length of stay > 5 days (%)	93	72	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	11	536	11837
Adjuvant chemotherapy (%)	82	65	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	212	4588
Neoadjuvant therapy (%)	53	33	33
Circumferential resection margin: Recorded (%)	100	86	90
Circumferential resection margin: Negative (%)	86	82	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