This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	397	3626	31676
Case ascertainment (%)	100	101	95
Data completeness of:
– Pre-treatment TNM (%)	74	71	80
– Performance status (%)	90	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	241	2090	19218
ASA grade 1 (%)	10	13	11
ASA grade 2 (%)	57	52	53
ASA grade 3 (%)	30	30	28
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	2	3	5
Data completeness of:
7 Audit items for risk-adjustment (%)	84	83	86

All Patients:	Trust	Network	National
Number of patients in Audit	397	3626	31676
Seen by Clinical Nurse Specialist (%)	81	86	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	125	756	7416
Undergoing major resection (%)	83	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	241	2090	19218
Distant metastases (%)	5	8	8
Urgent or emergency surgery (%)	1	14	15
At least 12 lymph nodes excised (%)	84	79	84
Laparoscopic surgery attempted (%)	67	75	69
Risk-adjusted length of stay > 5 days (%)	56	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	160	1337	11837
Adjuvant chemotherapy (%)	54	55	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	57	533	4588
Neoadjuvant therapy (%)	37	25	33
Circumferential resection margin: Recorded (%)	100	88	90
Circumferential resection margin: Negative (%)	91	80	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