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
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	124	543	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	77	79	85
– Performance status (%)	40	67	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	360	18552
ASA grade 1 (%)	4	13	9
ASA grade 2 (%)	52	54	53
ASA grade 3 (%)	35	28	30
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	7	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	85	91	89

All Patients:	Trust	Network	National
Number of patients in Audit	124	543	29766
Seen by Clinical Nurse Specialist (%)	98	73	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	33	120	8157
Undergoing major resection (%)	100	92	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	360	18515
Distant metastases (%)	4	8	6
Urgent or emergency surgery (%)	7	16	21
At least 12 lymph nodes excised (%)	84	88	86
Laparoscopic surgery attempted (%)	78	78	71
Risk-adjusted length of stay > 5 days (%)	67	79	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	58	167	10335
Adjuvant chemotherapy (%)	62	59	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	72	4137
Neoadjuvant therapy (%)	25	12	34
Circumferential resection margin: Recorded (%)	100	90	90
Circumferential resection margin: Negative (%)	93	86	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	54	219	17956
APER/Hartmanns (%)	24	27	37