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
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	401	1455	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	81	88	85
– Performance status (%)	62	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	268	848	18552
ASA grade 1 (%)	10	9	9
ASA grade 2 (%)	47	58	53
ASA grade 3 (%)	31	25	30
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	10	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	87	92	89

All Patients:	Trust	Network	National
Number of patients in Audit	401	1455	29766
Seen by Clinical Nurse Specialist (%)	68	85	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	79	380	8157
Undergoing major resection (%)	80	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	268	848	18515
Distant metastases (%)	9	9	6
Urgent or emergency surgery (%)	11	18	21
At least 12 lymph nodes excised (%)	83	87	86
Laparoscopic surgery attempted (%)	71	79	71
Risk-adjusted length of stay > 5 days (%)	66	66	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	137	425	10335
Adjuvant chemotherapy (%)	61	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	68	183	4137
Neoadjuvant therapy (%)	72	59	34
Circumferential resection margin: Recorded (%)	91	92	90
Circumferential resection margin: Negative (%)	78	82	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	247	811	17956
APER/Hartmanns (%)	33	33	37