This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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 hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• Intraoperative RTX

• Support service facilities:
• Dedicated nurses for ERAS services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	182	1404	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	92	78	85
– Performance status (%)	100	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	874	18552
ASA grade 1 (%)	11	10	9
ASA grade 2 (%)	67	53	53
ASA grade 3 (%)	20	23	30
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	N/A	14	6
Data completeness of:
7 Audit items for risk-adjustment (%)	96	78	89

All Patients:	Trust	Network	National
Number of patients in Audit	182	1381	29766
Seen by Clinical Nurse Specialist (%)	100	98	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	57	314	8157
Undergoing major resection (%)	89	87	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	874	18515
Distant metastases (%)	7	9	6
Urgent or emergency surgery (%)	5	13	21
At least 12 lymph nodes excised (%)	99	84	86
Laparoscopic surgery attempted (%)	69	73	71
Risk-adjusted length of stay > 5 days (%)	68	70	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	73	485	10335
Adjuvant chemotherapy (%)	42	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	191	4137
Neoadjuvant therapy (%)	32	28	34
Circumferential resection margin: Recorded (%)	90	86	90
Circumferential resection margin: Negative (%)	72	80	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	117	776	17956
APER/Hartmanns (%)	25	31	37