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
• Routine 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	145	1307	31676
Case ascertainment (%)	92	99	95
Data completeness of:
– Pre-treatment TNM (%)	88	83	80
– Performance status (%)	66	67	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	809	19218
ASA grade 1 (%)	25	16	11
ASA grade 2 (%)	30	52	53
ASA grade 3 (%)	7	21	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	38	10	5
Data completeness of:
7 Audit items for risk-adjustment (%)	57	82	86

All Patients:	Trust	Network	National
Number of patients in Audit	145	1307	31676
Seen by Clinical Nurse Specialist (%)	78	89	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	29	281	7416
Undergoing major resection (%)	97	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	809	19218
Distant metastases (%)	9	9	8
Urgent or emergency surgery (%)	0	13	15
At least 12 lymph nodes excised (%)	86	87	84
Laparoscopic surgery attempted (%)	98	80	69
Risk-adjusted length of stay > 5 days (%)	78	74	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	81	571	11837
Adjuvant chemotherapy (%)	54	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	209	4588
Neoadjuvant therapy (%)	52	55	33
Circumferential resection margin: Recorded (%)	44	84	90
Circumferential resection margin: Negative (%)	33	72	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