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
• Age Specific Genetic Testing for Lynch Syndrome

• Surgical services:
• Robotic surgery

• 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	227	1670	29766
Case ascertainment (%)	116	90	90
Data completeness of:
– Pre-treatment TNM (%)	89	88	83
– Performance status (%)	87	95	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	130	964	16499
ASA grade 1 (%)	26	14	10
ASA grade 2 (%)	57	56	53
ASA grade 3 (%)	15	26	30
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	1	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	72	92	86

All Patients:	Trust	Network	National
Number of patients in Audit	227	1670	29766
Seen by Clinical Nurse Specialist (%)	86	80	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	53	477	7226
Undergoing major resection (%)	87	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	130	964	16474
Distant metastases (%)	8	7	6
Urgent or emergency surgery (%)	17	18	15
At least 12 lymph nodes excised (%)	68	83	84
Laparoscopic surgery attempted (%)	81	76	72
Risk-adjusted length of stay > 5 days (%)	64	60	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	73	667	10641
Adjuvant chemotherapy (%)	62	57	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	216	3899
Neoadjuvant therapy (%)	14	25	32
Circumferential resection margin: Recorded (%)	79	93	86
Circumferential resection margin: Negative (%)	79	84	79
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