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 Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal 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	251	1641	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	89	80	85
– Performance status (%)	100	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	881	18552
ASA grade 1 (%)	8	8	9
ASA grade 2 (%)	55	59	53
ASA grade 3 (%)	33	29	30
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	N/A	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	80	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	251	1641	29766
Seen by Clinical Nurse Specialist (%)	85	83	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	46	416	8157
Undergoing major resection (%)	52	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	881	18515
Distant metastases (%)	5	5	6
Urgent or emergency surgery (%)	8	13	21
At least 12 lymph nodes excised (%)	75	87	86
Laparoscopic surgery attempted (%)	89	76	71
Risk-adjusted length of stay > 5 days (%)	33	51	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	58	541	10335
Adjuvant chemotherapy (%)	66	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	35	199	4137
Neoadjuvant therapy (%)	50	28	34
Circumferential resection margin: Recorded (%)	71	82	90
Circumferential resection margin: Negative (%)	63	74	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	152	1018	17956
APER/Hartmanns (%)	26	30	37