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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	275	1912	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	92	85
– Performance status (%)	98	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	962	18552
ASA grade 1 (%)	7	13	9
ASA grade 2 (%)	66	56	53
ASA grade 3 (%)	27	28	30
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	1	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	96	94	89

All Patients:	Trust	Network	National
Number of patients in Audit	275	1912	29766
Seen by Clinical Nurse Specialist (%)	80	87	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	81	493	8157
Undergoing major resection (%)	78	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	962	18515
Distant metastases (%)	4	5	6
Urgent or emergency surgery (%)	12	18	21
At least 12 lymph nodes excised (%)	81	87	86
Laparoscopic surgery attempted (%)	59	79	71
Risk-adjusted length of stay > 5 days (%)	61	56	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	613	10335
Adjuvant chemotherapy (%)	52	56	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	46	199	4137
Neoadjuvant therapy (%)	17	16	34
Circumferential resection margin: Recorded (%)	96	91	90
Circumferential resection margin: Negative (%)	87	85	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	141	928	17956
APER/Hartmanns (%)	45	29	37