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

• 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	271	1670	29766
Case ascertainment (%)	94	90	90
Data completeness of:
– Pre-treatment TNM (%)	96	88	83
– Performance status (%)	99	95	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	171	964	16499
ASA grade 1 (%)	7	14	10
ASA grade 2 (%)	68	56	53
ASA grade 3 (%)	24	26	30
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	0	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	92	86

All Patients:	Trust	Network	National
Number of patients in Audit	271	1670	29766
Seen by Clinical Nurse Specialist (%)	75	80	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	88	477	7226
Undergoing major resection (%)	82	82	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	171	964	16474
Distant metastases (%)	5	7	6
Urgent or emergency surgery (%)	11	18	15
At least 12 lymph nodes excised (%)	87	83	84
Laparoscopic surgery attempted (%)	53	76	72
Risk-adjusted length of stay > 5 days (%)	63	60	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	81	667	10641
Adjuvant chemotherapy (%)	56	57	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	216	3899
Neoadjuvant therapy (%)	22	25	32
Circumferential resection margin: Recorded (%)	88	93	86
Circumferential resection margin: Negative (%)	80	84	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