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	202	1506	29766
Case ascertainment (%)	105	97	90
Data completeness of:
– Pre-treatment TNM (%)	97	94	83
– Performance status (%)	86	84	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	101	891	16499
ASA grade 1 (%)	13	10	10
ASA grade 2 (%)	47	60	53
ASA grade 3 (%)	36	28	30
ASA grade 4+ (%)	2	2	3
ASA grade not recorded (%)	3	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	62	87	86

All Patients:	Trust	Network	National
Number of patients in Audit	202	1506	29766
Seen by Clinical Nurse Specialist (%)	92	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	101	891	16474
Distant metastases (%)	5	4	6
Urgent or emergency surgery (%)	11	14	15
At least 12 lymph nodes excised (%)	62	83	84
Laparoscopic surgery attempted (%)	52	66	72
Risk-adjusted length of stay > 5 days (%)	72	67	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	211	3899
Neoadjuvant therapy (%)	58	42	32
Circumferential resection margin: Negative (%)	35	63	79
Circumferential resection margin: Recorded (%)	48	80	86
APER rate (%)	13	31	24