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 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
• 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	193	1614	31676
Case ascertainment (%)	108	102	95
Data completeness of:
– Pre-treatment TNM (%)	89	82	80
– Performance status (%)	97	91	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	971	19218
ASA grade 1 (%)	1	6	11
ASA grade 2 (%)	76	61	53
ASA grade 3 (%)	23	31	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	N/A	N/A	5
Data completeness of:
7 Audit items for risk-adjustment (%)	97	90	86

All Patients:	Trust	Network	National
Number of patients in Audit	193	1614	31676
Seen by Clinical Nurse Specialist (%)	89	87	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	45	369	7416
Undergoing major resection (%)	82	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	971	19218
Distant metastases (%)	3	4	8
Urgent or emergency surgery (%)	5	13	15
At least 12 lymph nodes excised (%)	90	87	84
Laparoscopic surgery attempted (%)	85	77	69
Risk-adjusted length of stay > 5 days (%)	68	58	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	73	656	11837
Adjuvant chemotherapy (%)	68	62	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	252	4588
Neoadjuvant therapy (%)	31	26	33
Circumferential resection margin: Recorded (%)	96	84	90
Circumferential resection margin: Negative (%)	96	75	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