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
• Age Specific Genetic Testing for Lynch Syndrome

• Surgical services:
• On-site thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	183	1998	29766
Case ascertainment (%)	94	110	90
Data completeness of:
– Pre-treatment TNM (%)	60	91	83
– Performance status (%)	44	83	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	1117	16499
ASA grade 1 (%)	3	7	10
ASA grade 2 (%)	47	51	53
ASA grade 3 (%)	42	37	30
ASA grade 4+ (%)	5	3	3
ASA grade not recorded (%)	3	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	65	93	86

All Patients:	Trust	Network	National
Number of patients in Audit	183	1998	29766
Seen by Clinical Nurse Specialist (%)	97	89	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	35	429	7226
Undergoing major resection (%)	89	90	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	1117	16474
Distant metastases (%)	7	10	6
Urgent or emergency surgery (%)	7	19	15
At least 12 lymph nodes excised (%)	80	87	84
Laparoscopic surgery attempted (%)	35	56	72
Risk-adjusted length of stay > 5 days (%)	65	68	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	100	603	10641
Adjuvant chemotherapy (%)	69	68	61

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	266	3899
Neoadjuvant therapy (%)	N/A	5	32
Circumferential resection margin: Recorded (%)	57	93	86
Circumferential resection margin: Negative (%)	57	86	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