This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• On-site hepatobiliary surgical team

• 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	260	1526	31676
Case ascertainment (%)	102	91	95
Data completeness of:
– Pre-treatment TNM (%)	95	91	80
– Performance status (%)	89	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	149	925	19218
ASA grade 1 (%)	12	11	11
ASA grade 2 (%)	59	57	53
ASA grade 3 (%)	23	28	28
ASA grade 4+ (%)	5	2	3
ASA grade not recorded (%)	1	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	88	89	86

All Patients:	Trust	Network	National
Number of patients in Audit	260	1526	31676
Seen by Clinical Nurse Specialist (%)	84	90	87

All patients deemed potentially curative?	Trust	Network	National
Number of patients	63	401	7416
Major resection rate in potentially curative patients (%)	95	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	149	925	19218
Distant metastases (%)	10	7	8
Urgent or emergency surgery (%)	11	11	15
At least 12 lymph nodes excised (%)	79	84	84
Laparoscopic surgery attempted (%)	64	62	69
Risk-adjusted length of stay > 5 days (%)	61	66	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	64	612	11837
Adjuvant chemotherapy (%)	59	56	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	196	4588
Neoadjuvant therapy (%)	61	41	33
Circumferential resection margin: Negative (%)	6	60	80
Circumferential resection margin: Recorded (%)	84	78	90
APER rate (%)	16	27	25