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:
• Complex vascular reconstruction
• Distal sacrectomy
• High 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	360	1326	29766
Case ascertainment (%)	92	101	90
Data completeness of:
– Pre-treatment TNM (%)	90	78	83
– Performance status (%)	12	54	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	257	769	16499
ASA grade 1 (%)	9	12	10
ASA grade 2 (%)	62	52	53
ASA grade 3 (%)	23	20	30
ASA grade 4+ (%)	4	2	3
ASA grade not recorded (%)	3	14	4
Data completeness of:
7 Audit items for risk-adjustment (%)	83	69	86

All Patients:	Trust	Network	National
Number of patients in Audit	360	1326	29766
Seen by Clinical Nurse Specialist (%)	67	80	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	92	240	7226
Undergoing major resection (%)	84	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	257	769	16474
Distant metastases (%)	11	10	6
Urgent or emergency surgery (%)	13	13	15
At least 12 lymph nodes excised (%)	73	72	84
Laparoscopic surgery attempted (%)	79	82	72
Risk-adjusted length of stay > 5 days (%)	78	71	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	151	489	10641
Adjuvant chemotherapy (%)	60	63	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	82	182	3899
Neoadjuvant therapy (%)	53	50	32
Circumferential resection margin: Recorded (%)	80	69	86
Circumferential resection margin: Negative (%)	70	63	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