This trust offers the following services:

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

• 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
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Distal sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• Support service facilities:
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	276	1912	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	94	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	1132	15891
ASA grade 1 (%)	4	6	8
ASA grade 2 (%)	15	43	52
ASA grade 3 (%)	12	38	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	70	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	26	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	276	1912	28523
Seen by Clinical Nurse Specialist (%)	93	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	49	411	7393
Undergoing major resection (%)	76	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	1132	15855
Distant metastases (%)	18	10	7
Urgent or emergency surgery (%)	22	26	20
At least 12 lymph nodes excised (%)	76	88	86
Laparoscopic surgery attempted (%)	80	57	67
Risk-adjusted length of stay > 5 days (%)	41	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	50	701	10794
Adjuvant chemotherapy (%)	60	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	268	3481
Neoadjuvant therapy (%)	N/A	N/A	38
Circumferential resection margin: Recorded (%)	45	89	89
Circumferential resection margin: Negative (%)	41	84	82
Rectal volume	15	221	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	99	1164	19595
APER/Hartmanns (%)	30	45	36