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
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	157	1455	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	88	85
– Performance status (%)	100	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	848	18552
ASA grade 1 (%)	N/A	9	9
ASA grade 2 (%)	98	58	53
ASA grade 3 (%)	2	25	30
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	100	92	89

All Patients:	Trust	Network	National
Number of patients in Audit	157	1455	29766
Seen by Clinical Nurse Specialist (%)	89	85	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	61	380	8157
Undergoing major resection (%)	87	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	848	18515
Distant metastases (%)	6	9	6
Urgent or emergency surgery (%)	60	18	21
At least 12 lymph nodes excised (%)	96	87	86
Laparoscopic surgery attempted (%)	95	79	71
Risk-adjusted length of stay > 5 days (%)	96	66	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	43	425	10335
Adjuvant chemotherapy (%)	60	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	183	4137
Neoadjuvant therapy (%)	47	59	34
Circumferential resection margin: Recorded (%)	100	92	90
Circumferential resection margin: Negative (%)	92	82	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	106	811	17956
APER/Hartmanns (%)	32	33	37