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

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1493	31676
Case ascertainment (%)	N/A	96	95
Data completeness of:
– Pre-treatment TNM (%)	N/A	83	80
– Performance status (%)	N/A	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	910	19218
ASA grade 1 (%)	2	9	11
ASA grade 2 (%)	94	56	53
ASA grade 3 (%)	5	30	28
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	N/A	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	97	89	86

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1493	31676
Seen by Clinical Nurse Specialist (%)	N/A	93	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	342	7416
Undergoing major resection (%)	N/A	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	910	19218
Distant metastases (%)	25	10	8
Urgent or emergency surgery (%)	0	15	15
At least 12 lymph nodes excised (%)	84	79	84
Laparoscopic surgery attempted (%)	37	57	69
Risk-adjusted length of stay > 5 days (%)	87	67	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	623	11837
Adjuvant chemotherapy (%)	N/A	57	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	194	4588
Neoadjuvant therapy (%)	52	55	33
Circumferential resection margin: Recorded (%)	100	94	90
Circumferential resection margin: Negative (%)	83	85	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