This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• 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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

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

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

• 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	330	1578	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	87	85
– Performance status (%)	99	87	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	227	824	18552
ASA grade 1 (%)	8	8	9
ASA grade 2 (%)	54	51	53
ASA grade 3 (%)	32	26	30
ASA grade 4+ (%)	6	3	2
ASA grade not recorded (%)	N/A	12	6
Data completeness of:
7 Audit items for risk-adjustment (%)	99	86	89

All Patients:	Trust	Network	National
Number of patients in Audit	330	1578	29766
Seen by Clinical Nurse Specialist (%)	92	95	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	76	436	8157
Undergoing major resection (%)	86	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	227	824	18515
Distant metastases (%)	7	5	6
Urgent or emergency surgery (%)	11	11	21
At least 12 lymph nodes excised (%)	88	90	86
Laparoscopic surgery attempted (%)	68	80	71
Risk-adjusted length of stay > 5 days (%)	60	52	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	105	510	10335
Adjuvant chemotherapy (%)	65	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	55	187	4137
Neoadjuvant therapy (%)	49	26	34
Circumferential resection margin: Recorded (%)	98	92	90
Circumferential resection margin: Negative (%)	89	79	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	204	942	17956
APER/Hartmanns (%)	34	26	37