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	252	1216	31676
Case ascertainment (%)	101	105	95
Data completeness of:
– Pre-treatment TNM (%)	98	82	80
– Performance status (%)	100	97	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	779	19218
ASA grade 1 (%)	7	20	11
ASA grade 2 (%)	57	47	53
ASA grade 3 (%)	34	27	28
ASA grade 4+ (%)	2	2	3
ASA grade not recorded (%)	N/A	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	99	86	86

All Patients:	Trust	Network	National
Number of patients in Audit	252	1216	31676
Seen by Clinical Nurse Specialist (%)	97	95	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	77	274	7416
Undergoing major resection (%)	91	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	779	19218
Distant metastases (%)	6	7	8
Urgent or emergency surgery (%)	22	17	15
At least 12 lymph nodes excised (%)	95	82	84
Laparoscopic surgery attempted (%)	58	67	69
Risk-adjusted length of stay > 5 days (%)	65	55	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	107	477	11837
Adjuvant chemotherapy (%)	50	56	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	216	4588
Neoadjuvant therapy (%)	32	27	33
Circumferential resection margin: Recorded (%)	94	91	90
Circumferential resection margin: Negative (%)	81	85	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