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
• Routine Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• Robotic surgery

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

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	269	1404	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	87	78	85
– Performance status (%)	99	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	874	18552
ASA grade 1 (%)	10	10	9
ASA grade 2 (%)	60	53	53
ASA grade 3 (%)	19	23	30
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	9	14	6
Data completeness of:
7 Audit items for risk-adjustment (%)	83	78	89

All Patients:	Trust	Network	National
Number of patients in Audit	269	1381	29766
Seen by Clinical Nurse Specialist (%)	96	98	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	59	314	8157
Undergoing major resection (%)	88	87	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	874	18515
Distant metastases (%)	9	9	6
Urgent or emergency surgery (%)	19	13	21
At least 12 lymph nodes excised (%)	96	84	86
Laparoscopic surgery attempted (%)	78	73	71
Risk-adjusted length of stay > 5 days (%)	61	70	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	116	485	10335
Adjuvant chemotherapy (%)	68	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	52	191	4137
Neoadjuvant therapy (%)	39	28	34
Circumferential resection margin: Recorded (%)	98	86	90
Circumferential resection margin: Negative (%)	96	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	198	776	17956
APER/Hartmanns (%)	33	31	37