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
• Routine 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 MDT
• Complex vascular reconstruction
• Extended lymphadenectomy

All Patients:	Trust	Network	National
Number of patients in Audit	339	1215	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	97	92	85
– Performance status (%)	99	89	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	179	659	18552
ASA grade 1 (%)	6	7	9
ASA grade 2 (%)	78	62	53
ASA grade 3 (%)	16	23	30
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	98	93	89

All Patients:	Trust	Network	National
Number of patients in Audit	339	1215	29766
Seen by Clinical Nurse Specialist (%)	91	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	69	292	8157
Undergoing major resection (%)	78	81	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	179	659	18515
Distant metastases (%)	6	8	6
Urgent or emergency surgery (%)	11	14	21
At least 12 lymph nodes excised (%)	88	89	86
Laparoscopic surgery attempted (%)	76	75	71
Risk-adjusted length of stay > 5 days (%)	65	58	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	352	10335
Adjuvant chemotherapy (%)	59	58	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	152	4137
Neoadjuvant therapy (%)	33	38	34
Circumferential resection margin: Recorded (%)	97	98	90
Circumferential resection margin: Negative (%)	86	93	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	149	571	17956
APER/Hartmanns (%)	44	46	37