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
• Age Specific Genetic Testing for Lynch Syndrome

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

• Surgical services:
• On-site hepatobiliary surgical team
• Robotic surgery

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

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1550	32641
Case ascertainment (%)	N/A	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	N/A	94	85
– Performance status (%)	N/A	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	920	18552
ASA grade 1 (%)	6	14	9
ASA grade 2 (%)	82	50	53
ASA grade 3 (%)	11	33	30
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	N/A	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	100	97	89

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1546	29766
Seen by Clinical Nurse Specialist (%)	N/A	94	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	374	8157
Undergoing major resection (%)	N/A	83	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	920	18515
Distant metastases (%)	15	5	6
Urgent or emergency surgery (%)	N/A	16	21
At least 12 lymph nodes excised (%)	81	88	86
Laparoscopic surgery attempted (%)	29	61	71
Risk-adjusted length of stay > 5 days (%)	85	60	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	535	10335
Adjuvant chemotherapy (%)	N/A	56	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	184	4137
Neoadjuvant therapy (%)	67	47	34
Circumferential resection margin: Recorded (%)	100	97	90
Circumferential resection margin: Negative (%)	79	90	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	84	772	17956
APER/Hartmanns (%)	85	45	37