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

• Advanced disease services:
• Extended lymphadenectomy

• Support service facilities:
• 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	299	874	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	92	96	85
– Performance status (%)	96	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	215	604	18552
ASA grade 1 (%)	3	4	9
ASA grade 2 (%)	49	38	53
ASA grade 3 (%)	43	50	30
ASA grade 4+ (%)	5	4	2
ASA grade not recorded (%)	N/A	3	6
Data completeness of:
7 Audit items for risk-adjustment (%)	100	96	89

All Patients:	Trust	Network	National
Number of patients in Audit	299	874	29766
Seen by Clinical Nurse Specialist (%)	87	79	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	91	239	8157
Undergoing major resection (%)	82	88	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	215	604	18515
Distant metastases (%)	6	7	6
Urgent or emergency surgery (%)	20	31	21
At least 12 lymph nodes excised (%)	86	83	86
Laparoscopic surgery attempted (%)	83	58	71
Risk-adjusted length of stay > 5 days (%)	52	61	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	105	349	10335
Adjuvant chemotherapy (%)	63	64	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	140	4137
Neoadjuvant therapy (%)	33	41	34
Circumferential resection margin: Recorded (%)	98	96	90
Circumferential resection margin: Negative (%)	89	84	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	237	589	17956
APER/Hartmanns (%)	57	50	37