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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

All Patients:	Trust	Network	National
Number of patients in Audit	167	1757	29766
Case ascertainment (%)	101	90	90
Data completeness of:
– Pre-treatment TNM (%)	62	72	83
– Performance status (%)	92	75	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	114	940	16499
ASA grade 1 (%)	4	6	10
ASA grade 2 (%)	30	55	53
ASA grade 3 (%)	23	29	30
ASA grade 4+ (%)	4	4	3
ASA grade not recorded (%)	40	6	4
Data completeness of:
7 Audit items for risk-adjustment (%)	59	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	167	1757	29766
Seen by Clinical Nurse Specialist (%)	90	78	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	44	362	7226
Undergoing major resection (%)	91	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	114	940	16474
Distant metastases (%)	7	6	6
Urgent or emergency surgery (%)	14	16	15
At least 12 lymph nodes excised (%)	96	85	84
Laparoscopic surgery attempted (%)	71	74	72
Risk-adjusted length of stay > 5 days (%)	60	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	89	610	10641
Adjuvant chemotherapy (%)	60	65	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	199	3899
Neoadjuvant therapy (%)	4	36	32
Circumferential resection margin: Recorded (%)	65	91	86
Circumferential resection margin: Negative (%)	65	84	79
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