This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	167	1670	29766
Case ascertainment (%)	93	90	90
Data completeness of:
– Pre-treatment TNM (%)	98	88	83
– Performance status (%)	100	95	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	964	16499
ASA grade 1 (%)	5	14	10
ASA grade 2 (%)	57	56	53
ASA grade 3 (%)	32	26	30
ASA grade 4+ (%)	6	3	3
ASA grade not recorded (%)	0	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	92	86

All Patients:	Trust	Network	National
Number of patients in Audit	167	1670	29766
Seen by Clinical Nurse Specialist (%)	80	80	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	964	16474
Distant metastases (%)	13	7	6
Urgent or emergency surgery (%)	25	18	15
At least 12 lymph nodes excised (%)	88	83	84
Laparoscopic surgery attempted (%)	62	76	72
Risk-adjusted length of stay > 5 days (%)	60	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	216	3899
Neoadjuvant therapy (%)	10	25	32
Circumferential resection margin: Negative (%)	91	84	79
Circumferential resection margin: Recorded (%)	91	93	86
APER rate (%)	18	21	24