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 Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• On-site hepatobiliary surgical team

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT

• 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	181	1497	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	96	85
– Performance status (%)	100	94	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	826	18552
ASA grade 1 (%)	15	11	9
ASA grade 2 (%)	47	57	53
ASA grade 3 (%)	32	28	30
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	3	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	94	88	89

All Patients:	Trust	Network	National
Number of patients in Audit	181	1497	29766
Seen by Clinical Nurse Specialist (%)	98	92	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	53	384	8157
Undergoing major resection (%)	91	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	826	18515
Distant metastases (%)	2	4	6
Urgent or emergency surgery (%)	11	16	21
At least 12 lymph nodes excised (%)	91	83	86
Laparoscopic surgery attempted (%)	64	69	71
Risk-adjusted length of stay > 5 days (%)	56	61	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	49	490	10335
Adjuvant chemotherapy (%)	43	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	157	4137
Neoadjuvant therapy (%)	56	35	34
Circumferential resection margin: Recorded (%)	95	85	90
Circumferential resection margin: Negative (%)	84	79	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	88	815	17956
APER/Hartmanns (%)	24	35	37