This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• 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 hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy

All Patients:	Trust	Network	National
Number of patients in Audit	400	2189	31676
Case ascertainment (%)	99	98	95
Data completeness of:
– Pre-treatment TNM (%)	82	66	80
– Performance status (%)	100	74	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	215	1282	19218
ASA grade 1 (%)	4	7	11
ASA grade 2 (%)	60	53	53
ASA grade 3 (%)	31	29	28
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	1	8	5
Data completeness of:
7 Audit items for risk-adjustment (%)	99	87	86

All Patients:	Trust	Network	National
Number of patients in Audit	400	2189	31676
Seen by Clinical Nurse Specialist (%)	89	80	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	84	405	7416
Undergoing major resection (%)	77	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	215	1282	19218
Distant metastases (%)	8	8	8
Urgent or emergency surgery (%)	16	15	15
At least 12 lymph nodes excised (%)	87	88	84
Laparoscopic surgery attempted (%)	77	61	69
Risk-adjusted length of stay > 5 days (%)	54	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	124	817	11837
Adjuvant chemotherapy (%)	68	67	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	54	313	4588
Neoadjuvant therapy (%)	38	38	33
Circumferential resection margin: Recorded (%)	96	96	90
Circumferential resection margin: Negative (%)	93	90	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