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 PET-CT 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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• 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:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	187	2111	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	87	85
– Performance status (%)	97	83	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	148	1131	18552
ASA grade 1 (%)	2	9	9
ASA grade 2 (%)	48	48	53
ASA grade 3 (%)	44	34	30
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	1	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	97	92	89

All Patients:	Trust	Network	National
Number of patients in Audit	187	2111	29766
Seen by Clinical Nurse Specialist (%)	96	79	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	51	589	8157
Undergoing major resection (%)	90	81	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	148	1131	18515
Distant metastases (%)	3	5	6
Urgent or emergency surgery (%)	15	16	21
At least 12 lymph nodes excised (%)	97	87	86
Laparoscopic surgery attempted (%)	77	83	71
Risk-adjusted length of stay > 5 days (%)	63	51	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	92	705	10335
Adjuvant chemotherapy (%)	42	57	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	41	266	4137
Neoadjuvant therapy (%)	49	42	34
Circumferential resection margin: Recorded (%)	93	92	90
Circumferential resection margin: Negative (%)	85	86	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	193	1207	17956
APER/Hartmanns (%)	36	39	37