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
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• 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	94	579	31676
Case ascertainment (%)	50	80	95
Data completeness of:
– Pre-treatment TNM (%)	32	69	80
– Performance status (%)	99	99	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	132	446	19218
ASA grade 1 (%)	5	12	11
ASA grade 2 (%)	41	53	53
ASA grade 3 (%)	33	28	28
ASA grade 4+ (%)	2	2	3
ASA grade not recorded (%)	19	6	5
Data completeness of:
7 Audit items for risk-adjustment (%)	73	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	94	579	31676
Seen by Clinical Nurse Specialist (%)	100	98	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	134	7416
Undergoing major resection (%)	N/A	93	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	132	446	19218
Distant metastases (%)	3	7	8
Urgent or emergency surgery (%)	8	12	15
At least 12 lymph nodes excised (%)	94	94	84
Laparoscopic surgery attempted (%)	50	64	69
Risk-adjusted length of stay > 5 days (%)	76	62	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	70	303	11837
Adjuvant chemotherapy (%)	74	73	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	38	100	4588
Neoadjuvant therapy (%)	58	45	33
Circumferential resection margin: Recorded (%)	97	99	90
Circumferential resection margin: Negative (%)	76	88	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