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 PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• 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	256	1524	29766
Case ascertainment (%)	96	112	90
Data completeness of:
– Pre-treatment TNM (%)	100	86	83
– Performance status (%)	100	75	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	159	730	16499
ASA grade 1 (%)	9	9	10
ASA grade 2 (%)	57	58	53
ASA grade 3 (%)	29	28	30
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	1	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	95	86

All Patients:	Trust	Network	National
Number of patients in Audit	256	1524	29766
Seen by Clinical Nurse Specialist (%)	96	92	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	68	389	7226
Undergoing major resection (%)	87	84	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	159	730	16474
Distant metastases (%)	5	5	6
Urgent or emergency surgery (%)	14	12	15
At least 12 lymph nodes excised (%)	87	89	84
Laparoscopic surgery attempted (%)	68	82	72
Risk-adjusted length of stay > 5 days (%)	64	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	97	553	10641
Adjuvant chemotherapy (%)	62	62	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	42	186	3899
Neoadjuvant therapy (%)	43	21	32
Circumferential resection margin: Recorded (%)	100	96	86
Circumferential resection margin: Negative (%)	93	82	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