This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• Diagnostic and pre-operative services:
• Age Specific Genetic Testing for Lynch Syndrome

• Support service facilities:
• 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	338	595	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	78	82	86
– Performance status (%)	100	97	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	207	326	19631
ASA grade 1 (%)	6	6	9
ASA grade 2 (%)	55	51	53
ASA grade 3 (%)	35	30	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	1	11	4
Data completeness of:
7 Audit items for risk-adjustment (%)	94	78	87

All Patients:	Trust	Network	National
Number of patients in Audit	338	595	35779
Seen by Clinical Nurse Specialist (%)	94	96	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	207	326	19614
Distant metastases (%)	5	5	5
Urgent or emergency surgery (%)	21	16	15
At least 12 lymph nodes excised (%)	94	79	84
Laparoscopic surgery attempted (%)	64	70	72
Risk-adjusted length of stay > 5 days (%)	50	52	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	112	N/A	10747
Adjuvant chemotherapy (%)	59	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	67	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	21	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	N/A	4251
Neoadjuvant therapy (%)	76	N/A	33
Circumferential resection margin: Recorded (%)	95	71	89
Circumferential resection margin: Negative (%)	95	69	83
Rectal volume	22	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	143	226	19644
APER/Hartmanns (%)	29	31	37