This trust offers the following services:

• 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
• 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:
• 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	1404	32641
Case ascertainment (%)	N/A	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	N/A	78	85
– Performance status (%)	N/A	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	874	18552
ASA grade 1 (%)	N/A	10	9
ASA grade 2 (%)	32	53	53
ASA grade 3 (%)	58	23	30
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	10	14	6
Data completeness of:
7 Audit items for risk-adjustment (%)	87	78	89

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1381	29766
Seen by Clinical Nurse Specialist (%)	N/A	98	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	314	8157
Undergoing major resection (%)	N/A	87	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	874	18515
Distant metastases (%)	19	9	6
Urgent or emergency surgery (%)	3	13	21
At least 12 lymph nodes excised (%)	93	84	86
Laparoscopic surgery attempted (%)	30	73	71
Risk-adjusted length of stay > 5 days (%)	101	70	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	485	10335
Adjuvant chemotherapy (%)	N/A	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	191	4137
Neoadjuvant therapy (%)	67	28	34
Circumferential resection margin: Recorded (%)	27	86	90
Circumferential resection margin: Negative (%)	9	80	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	75	776	17956
APER/Hartmanns (%)	60	31	37