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:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	292	1146	29766
Case ascertainment (%)	97	91	90
Data completeness of:
– Pre-treatment TNM (%)	89	90	83
– Performance status (%)	100	100	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	147	619	16499
ASA grade 1 (%)	13	14	10
ASA grade 2 (%)	56	48	53
ASA grade 3 (%)	29	36	30
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	0	0	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	292	1146	29766
Seen by Clinical Nurse Specialist (%)	100	98	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	67	333	7226
Undergoing major resection (%)	84	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	147	619	16474
Distant metastases (%)	5	7	6
Urgent or emergency surgery (%)	10	12	15
At least 12 lymph nodes excised (%)	74	79	84
Laparoscopic surgery attempted (%)	63	72	72
Risk-adjusted length of stay > 5 days (%)	56	52	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	74	379	10641
Adjuvant chemotherapy (%)	43	59	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	143	3899
Neoadjuvant therapy (%)	11	22	32
Circumferential resection margin: Recorded (%)	100	88	86
Circumferential resection margin: Negative (%)	92	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