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

• Advanced disease services:
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

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

All Patients:	Trust	Network	National
Number of patients in Audit	206	1146	29766
Case ascertainment (%)	77	91	90
Data completeness of:
– Pre-treatment TNM (%)	97	90	83
– Performance status (%)	100	100	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	619	16499
ASA grade 1 (%)	6	14	10
ASA grade 2 (%)	51	48	53
ASA grade 3 (%)	41	36	30
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	0	0	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	206	1146	29766
Seen by Clinical Nurse Specialist (%)	98	98	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	85	333	7226
Undergoing major resection (%)	93	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	619	16474
Distant metastases (%)	0	7	6
Urgent or emergency surgery (%)	9	12	15
At least 12 lymph nodes excised (%)	96	79	84
Laparoscopic surgery attempted (%)	66	72	72
Risk-adjusted length of stay > 5 days (%)	67	52	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	81	379	10641
Adjuvant chemotherapy (%)	52	59	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	143	3899
Neoadjuvant therapy (%)	44	22	32
Circumferential resection margin: Recorded (%)	100	88	86
Circumferential resection margin: Negative (%)	83	80	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