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	1547	29766
Case ascertainment (%)	N/A	102	90
Data completeness of:
– Pre-treatment TNM (%)	N/A	83	83
– Performance status (%)	N/A	89	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	54	908	16499
ASA grade 1 (%)	20	14	10
ASA grade 2 (%)	72	51	53
ASA grade 3 (%)	6	32	30
ASA grade 4+ (%)	0	2	3
ASA grade not recorded (%)	2	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1547	29766
Seen by Clinical Nurse Specialist (%)	N/A	93	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	382	7226
Undergoing major resection (%)	N/A	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	54	908	16474
Distant metastases (%)	15	7	6
Urgent or emergency surgery (%)	2	20	15
At least 12 lymph nodes excised (%)	68	85	84
Laparoscopic surgery attempted (%)	19	62	72
Risk-adjusted length of stay > 5 days (%)	87	66	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	539	10641
Adjuvant chemotherapy (%)	N/A	57	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	192	3899
Neoadjuvant therapy (%)	79	55	32
Circumferential resection margin: Recorded (%)	100	92	86
Circumferential resection margin: Negative (%)	74	85	79
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