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:
• Robotic surgery

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

• 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	132	407	29766
Case ascertainment (%)	87	69	90
Data completeness of:
– Pre-treatment TNM (%)	54	72	83
– Performance status (%)	62	71	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	254	16499
ASA grade 1 (%)	33	28	10
ASA grade 2 (%)	60	55	53
ASA grade 3 (%)	7	13	30
ASA grade 4+ (%)	0	1	3
ASA grade not recorded (%)	0	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	91	86

All Patients:	Trust	Network	National
Number of patients in Audit	132	407	29766
Seen by Clinical Nurse Specialist (%)	100	78	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	25	76	7226
Undergoing major resection (%)	100	92	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	254	16474
Distant metastases (%)	10	9	6
Urgent or emergency surgery (%)	11	20	15
At least 12 lymph nodes excised (%)	94	83	84
Laparoscopic surgery attempted (%)	82	77	72
Risk-adjusted length of stay > 5 days (%)	78	78	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	53	172	10641
Adjuvant chemotherapy (%)	72	64	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	35	3899
Neoadjuvant therapy (%)	17	24	32
Circumferential resection margin: Recorded (%)	91	91	86
Circumferential resection margin: Negative (%)	91	89	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