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	356	1307	31676
Case ascertainment (%)	97	99	95
Data completeness of:
– Pre-treatment TNM (%)	87	83	80
– Performance status (%)	37	67	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	247	809	19218
ASA grade 1 (%)	6	16	11
ASA grade 2 (%)	51	52	53
ASA grade 3 (%)	33	21	28
ASA grade 4+ (%)	4	2	3
ASA grade not recorded (%)	6	10	5
Data completeness of:
7 Audit items for risk-adjustment (%)	90	82	86

All Patients:	Trust	Network	National
Number of patients in Audit	356	1307	31676
Seen by Clinical Nurse Specialist (%)	91	89	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	89	281	7416
Undergoing major resection (%)	85	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	247	809	19218
Distant metastases (%)	9	9	8
Urgent or emergency surgery (%)	19	13	15
At least 12 lymph nodes excised (%)	90	87	84
Laparoscopic surgery attempted (%)	71	80	69
Risk-adjusted length of stay > 5 days (%)	71	74	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	163	571	11837
Adjuvant chemotherapy (%)	59	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	75	209	4588
Neoadjuvant therapy (%)	55	55	33
Circumferential resection margin: Recorded (%)	96	84	90
Circumferential resection margin: Negative (%)	76	72	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