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

• Surgical services:
• On-site thoracic surgical team

• Support service facilities:
• Dedicated nurses for ERAS services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	298	1028	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	83	85
– Performance status (%)	100	98	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	559	18552
ASA grade 1 (%)	27	14	9
ASA grade 2 (%)	51	48	53
ASA grade 3 (%)	22	28	30
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	8	6
Data completeness of:
7 Audit items for risk-adjustment (%)	94	87	89

All Patients:	Trust	Network	National
Number of patients in Audit	298	1028	29766
Seen by Clinical Nurse Specialist (%)	90	93	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	80	241	8157
Undergoing major resection (%)	82	76	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	559	18515
Distant metastases (%)	3	4	6
Urgent or emergency surgery (%)	16	12	21
At least 12 lymph nodes excised (%)	86	88	86
Laparoscopic surgery attempted (%)	83	64	71
Risk-adjusted length of stay > 5 days (%)	74	70	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	67	275	10335
Adjuvant chemotherapy (%)	76	64	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	128	4137
Neoadjuvant therapy (%)	55	42	34
Circumferential resection margin: Recorded (%)	90	93	90
Circumferential resection margin: Negative (%)	77	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	98	459	17956
APER/Hartmanns (%)	58	41	37