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
• 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

• 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:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	208	3445	31676
Case ascertainment (%)	95	100	95
Data completeness of:
– Pre-treatment TNM (%)	90	79	80
– Performance status (%)	44	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	112	2169	19218
ASA grade 1 (%)	7	11	11
ASA grade 2 (%)	50	53	53
ASA grade 3 (%)	41	30	28
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	N/A	3	5
Data completeness of:
7 Audit items for risk-adjustment (%)	2	82	86

All Patients:	Trust	Network	National
Number of patients in Audit	208	3445	31676
Seen by Clinical Nurse Specialist (%)	84	88	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	56	845	7416
Undergoing major resection (%)	84	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	112	2169	19218
Distant metastases (%)	0	9	8
Urgent or emergency surgery (%)	17	17	15
At least 12 lymph nodes excised (%)	2	77	84
Laparoscopic surgery attempted (%)	63	74	69
Risk-adjusted length of stay > 5 days (%)	N/A	58	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	16	1249	11837
Adjuvant chemotherapy (%)	56	71	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	535	4588
Neoadjuvant therapy (%)	59	31	33
Circumferential resection margin: Recorded (%)	N/A	88	90
Circumferential resection margin: Negative (%)	N/A	80	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