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
• Age Specific Genetic Testing for Lynch Syndrome

• Surgical services:
• On-site thoracic surgical team

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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	241	1933	31676
Case ascertainment (%)	106	110	95
Data completeness of:
– Pre-treatment TNM (%)	74	89	80
– Performance status (%)	27	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	1220	19218
ASA grade 1 (%)	8	9	11
ASA grade 2 (%)	60	59	53
ASA grade 3 (%)	29	30	28
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	N/A	N/A	5
Data completeness of:
7 Audit items for risk-adjustment (%)	84	92	86

All Patients:	Trust	Network	National
Number of patients in Audit	241	1933	31676
Seen by Clinical Nurse Specialist (%)	61	80	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	42	434	7416
Undergoing major resection (%)	88	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	1220	19218
Distant metastases (%)	13	10	8
Urgent or emergency surgery (%)	19	19	15
At least 12 lymph nodes excised (%)	89	85	84
Laparoscopic surgery attempted (%)	27	52	69
Risk-adjusted length of stay > 5 days (%)	75	68	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	N/A	11837
Adjuvant chemotherapy (%)	N/A	N/A	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	291	4588
Neoadjuvant therapy (%)	17	30	33
Circumferential resection margin: Recorded (%)	88	91	90
Circumferential resection margin: Negative (%)	85	86	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