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
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	217	2234	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	94	85
– Performance status (%)	50	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	1170	18552
ASA grade 1 (%)	7	6	9
ASA grade 2 (%)	52	53	53
ASA grade 3 (%)	33	35	30
ASA grade 4+ (%)	6	3	2
ASA grade not recorded (%)	2	3	6
Data completeness of:
7 Audit items for risk-adjustment (%)	65	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	217	2234	29766
Seen by Clinical Nurse Specialist (%)	38	82	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	54	469	8157
Undergoing major resection (%)	78	85	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	1170	18515
Distant metastases (%)	7	8	6
Urgent or emergency surgery (%)	99	100	21
At least 12 lymph nodes excised (%)	80	84	86
Laparoscopic surgery attempted (%)	27	53	71
Risk-adjusted length of stay > 5 days (%)	N/A	N/A	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	89	578	10335
Adjuvant chemotherapy (%)	65	62	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	273	4137
Neoadjuvant therapy (%)	N/A	N/A	34
Circumferential resection margin: Recorded (%)	57	87	90
Circumferential resection margin: Negative (%)	57	82	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	191	1138	17956
APER/Hartmanns (%)	45	45	37