This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Surgical services:
• On-site hepatobiliary surgical team

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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	352	2310	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	86	86	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	195	1175	19631
ASA grade 1 (%)	3	7	9
ASA grade 2 (%)	65	55	53
ASA grade 3 (%)	29	36	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	1	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	88	87

All Patients:	Trust	Network	National
Number of patients in Audit	352	2310	35779
Seen by Clinical Nurse Specialist (%)	100	86	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	195	1175	19614
Distant metastases (%)	6	4	5
Urgent or emergency surgery (%)	10	12	15
At least 12 lymph nodes excised (%)	94	81	84
Laparoscopic surgery attempted (%)	72	68	72
Risk-adjusted length of stay > 5 days (%)	70	58	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	117	N/A	10747
Adjuvant chemotherapy (%)	65	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	77	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	28	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	N/A	4251
Neoadjuvant therapy (%)	72	N/A	33
Circumferential resection margin: Recorded (%)	100	86	89
Circumferential resection margin: Negative (%)	98	80	83
Rectal volume	60	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	229	1244	19644
APER/Hartmanns (%)	38	35	37