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

• Surgical services:
• On-site hepatobiliary surgical team
• 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
• Extended lymphadenectomy

• 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	198	1641	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	85	80	85
– Performance status (%)	100	88	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	118	881	18552
ASA grade 1 (%)	1	8	9
ASA grade 2 (%)	86	59	53
ASA grade 3 (%)	13	29	30
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	97	89	89

All Patients:	Trust	Network	National
Number of patients in Audit	198	1641	29766
Seen by Clinical Nurse Specialist (%)	91	83	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	50	416	8157
Undergoing major resection (%)	92	78	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	118	881	18515
Distant metastases (%)	7	5	6
Urgent or emergency surgery (%)	13	13	21
At least 12 lymph nodes excised (%)	90	87	86
Laparoscopic surgery attempted (%)	84	76	71
Risk-adjusted length of stay > 5 days (%)	64	51	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	62	541	10335
Adjuvant chemotherapy (%)	74	66	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	199	4137
Neoadjuvant therapy (%)	41	28	34
Circumferential resection margin: Recorded (%)	86	82	90
Circumferential resection margin: Negative (%)	82	74	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	104	1018	17956
APER/Hartmanns (%)	32	30	37