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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	212	1912	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	84	92	85
– Performance status (%)	81	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	962	18552
ASA grade 1 (%)	29	13	9
ASA grade 2 (%)	52	56	53
ASA grade 3 (%)	15	28	30
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	2	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	81	94	89

All Patients:	Trust	Network	National
Number of patients in Audit	212	1912	29766
Seen by Clinical Nurse Specialist (%)	83	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	54	493	8157
Undergoing major resection (%)	80	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	962	18515
Distant metastases (%)	9	5	6
Urgent or emergency surgery (%)	14	18	21
At least 12 lymph nodes excised (%)	84	87	86
Laparoscopic surgery attempted (%)	78	79	71
Risk-adjusted length of stay > 5 days (%)	69	56	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	64	613	10335
Adjuvant chemotherapy (%)	58	56	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	199	4137
Neoadjuvant therapy (%)	15	16	34
Circumferential resection margin: Recorded (%)	62	91	90
Circumferential resection margin: Negative (%)	62	85	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	154	928	17956
APER/Hartmanns (%)	17	29	37