This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• 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

All Patients:	Trust	Network	National
Number of patients in Audit	84	1302	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	92	86
– Performance status (%)	75	87	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	635	15891
ASA grade 1 (%)	10	11	8
ASA grade 2 (%)	60	55	52
ASA grade 3 (%)	30	29	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	N/A	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	94	87

All Patients:	Trust	Network	National
Number of patients in Audit	84	1301	28523
Seen by Clinical Nurse Specialist (%)	100	90	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	40	320	7393
Undergoing major resection (%)	65	73	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	635	15855
Distant metastases (%)	N/A	6	7
Urgent or emergency surgery (%)	40	27	20
At least 12 lymph nodes excised (%)	89	87	86
Laparoscopic surgery attempted (%)	55	55	67
Risk-adjusted length of stay > 5 days (%)	45	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	71	546	10794
Adjuvant chemotherapy (%)	54	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	114	3481
Neoadjuvant therapy (%)	N/A	53	38
Circumferential resection margin: Recorded (%)	N/A	93	89
Circumferential resection margin: Negative (%)	N/A	82	82
Rectal volume	N/A	121	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	121	855	19595
APER/Hartmanns (%)	32	44	36