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 Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Extended lymphadenectomy

• 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	165	2000	31676
Case ascertainment (%)	84	103	95
Data completeness of:
– Pre-treatment TNM (%)	67	77	80
– Performance status (%)	99	81	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	108	1222	19218
ASA grade 1 (%)	38	14	11
ASA grade 2 (%)	31	42	53
ASA grade 3 (%)	29	33	28
ASA grade 4+ (%)	3	4	3
ASA grade not recorded (%)	N/A	7	5
Data completeness of:
7 Audit items for risk-adjustment (%)	94	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	165	2000	31676
Seen by Clinical Nurse Specialist (%)	89	89	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	39	510	7416
Undergoing major resection (%)	95	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	108	1222	19218
Distant metastases (%)	9	8	8
Urgent or emergency surgery (%)	20	15	15
At least 12 lymph nodes excised (%)	85	88	84
Laparoscopic surgery attempted (%)	85	83	69
Risk-adjusted length of stay > 5 days (%)	58	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	56	813	11837
Adjuvant chemotherapy (%)	48	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	283	4588
Neoadjuvant therapy (%)	13	36	33
Circumferential resection margin: Recorded (%)	100	91	90
Circumferential resection margin: Negative (%)	91	87	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