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	158	1094	29766
Case ascertainment (%)	120	63	90
Data completeness of:
– Pre-treatment TNM (%)	97	92	83
– Performance status (%)	99	85	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	90	613	16499
ASA grade 1 (%)	1	5	10
ASA grade 2 (%)	91	59	53
ASA grade 3 (%)	6	30	30
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	1	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	82	86

All Patients:	Trust	Network	National
Number of patients in Audit	158	1094	29766
Seen by Clinical Nurse Specialist (%)	84	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	34	292	7226
Undergoing major resection (%)	82	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	90	613	16474
Distant metastases (%)	8	6	6
Urgent or emergency surgery (%)	12	13	15
At least 12 lymph nodes excised (%)	84	77	84
Laparoscopic surgery attempted (%)	86	78	72
Risk-adjusted length of stay > 5 days (%)	63	53	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	70	561	10641
Adjuvant chemotherapy (%)	74	65	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	142	3899
Neoadjuvant therapy (%)	46	22	32
Circumferential resection margin: Recorded (%)	100	76	86
Circumferential resection margin: Negative (%)	92	72	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