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 Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic

All Patients:	Trust	Network	National
Number of patients in Audit	212	3507	29766
Case ascertainment (%)	95	97	90
Data completeness of:
– Pre-treatment TNM (%)	89	80	83
– Performance status (%)	75	86	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	131	2012	16499
ASA grade 1 (%)	4	10	10
ASA grade 2 (%)	41	50	53
ASA grade 3 (%)	50	34	30
ASA grade 4+ (%)	5	3	3
ASA grade not recorded (%)	0	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	93	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	212	3507	29766
Seen by Clinical Nurse Specialist (%)	95	86	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	44	854	7226
Undergoing major resection (%)	89	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	131	2012	16474
Distant metastases (%)	6	4	6
Urgent or emergency surgery (%)	23	16	15
At least 12 lymph nodes excised (%)	80	82	84
Laparoscopic surgery attempted (%)	85	74	72
Risk-adjusted length of stay > 5 days (%)	52	59	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	64	1187	10641
Adjuvant chemotherapy (%)	67	67	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	503	3899
Neoadjuvant therapy (%)	14	30	32
Circumferential resection margin: Recorded (%)	85	88	86
Circumferential resection margin: Negative (%)	76	81	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