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

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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

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

All Patients:	Trust	Network	National
Number of patients in Audit	115	919	29766
Case ascertainment (%)	106	98	90
Data completeness of:
– Pre-treatment TNM (%)	80	90	83
– Performance status (%)	97	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	62	585	16499
ASA grade 1 (%)	0	3	10
ASA grade 2 (%)	35	31	53
ASA grade 3 (%)	53	34	30
ASA grade 4+ (%)	10	3	3
ASA grade not recorded (%)	2	29	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	67	86

All Patients:	Trust	Network	National
Number of patients in Audit	115	919	29766
Seen by Clinical Nurse Specialist (%)	90	80	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	24	216	7226
Undergoing major resection (%)	88	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	62	585	16474
Distant metastases (%)	6	6	6
Urgent or emergency surgery (%)	11	18	15
At least 12 lymph nodes excised (%)	91	85	84
Laparoscopic surgery attempted (%)	79	51	72
Risk-adjusted length of stay > 5 days (%)	72	63	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	40	336	10641
Adjuvant chemotherapy (%)	75	63	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	154	3899
Neoadjuvant therapy (%)	27	47	32
Circumferential resection margin: Recorded (%)	92	90	86
Circumferential resection margin: Negative (%)	92	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