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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	289	1239	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	85	87	85
– Performance status (%)	100	100	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	164	736	18552
ASA grade 1 (%)	6	7	9
ASA grade 2 (%)	72	57	53
ASA grade 3 (%)	20	33	30
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	N/A	N/A	6
Data completeness of:
7 Audit items for risk-adjustment (%)	93	97	89

All Patients:	Trust	Network	National
Number of patients in Audit	289	1239	29766
Seen by Clinical Nurse Specialist (%)	100	97	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	75	364	8157
Undergoing major resection (%)	85	84	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	164	736	18515
Distant metastases (%)	8	6	6
Urgent or emergency surgery (%)	7	13	21
At least 12 lymph nodes excised (%)	76	84	86
Laparoscopic surgery attempted (%)	63	70	71
Risk-adjusted length of stay > 5 days (%)	61	53	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	82	369	10335
Adjuvant chemotherapy (%)	45	58	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	166	4137
Neoadjuvant therapy (%)	33	38	34
Circumferential resection margin: Recorded (%)	100	95	90
Circumferential resection margin: Negative (%)	87	88	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	171	720	17956
APER/Hartmanns (%)	43	39	37