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 PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic 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
• High sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	211	2000	31676
Case ascertainment (%)	91	103	95
Data completeness of:
– Pre-treatment TNM (%)	93	77	80
– Performance status (%)	99	81	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	1222	19218
ASA grade 1 (%)	5	14	11
ASA grade 2 (%)	48	42	53
ASA grade 3 (%)	44	33	28
ASA grade 4+ (%)	3	4	3
ASA grade not recorded (%)	N/A	7	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	211	2000	31676
Seen by Clinical Nurse Specialist (%)	96	89	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	66	510	7416
Undergoing major resection (%)	97	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	1222	19218
Distant metastases (%)	10	8	8
Urgent or emergency surgery (%)	17	15	15
At least 12 lymph nodes excised (%)	98	88	84
Laparoscopic surgery attempted (%)	76	83	69
Risk-adjusted length of stay > 5 days (%)	73	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	109	813	11837
Adjuvant chemotherapy (%)	50	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	283	4588
Neoadjuvant therapy (%)	40	36	33
Circumferential resection margin: Recorded (%)	98	91	90
Circumferential resection margin: Negative (%)	90	87	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