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
• Age Specific Genetic Testing for Lynch Syndrome

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• High 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

All Patients:	Trust	Network	National
Number of patients in Audit	152	1302	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	97	92	86
– Performance status (%)	97	87	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	69	635	15891
ASA grade 1 (%)	67	11	8
ASA grade 2 (%)	23	55	52
ASA grade 3 (%)	9	29	31
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	N/A	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	94	87

All Patients:	Trust	Network	National
Number of patients in Audit	152	1301	28523
Seen by Clinical Nurse Specialist (%)	86	90	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	36	320	7393
Undergoing major resection (%)	81	73	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	69	635	15855
Distant metastases (%)	7	6	7
Urgent or emergency surgery (%)	14	27	20
At least 12 lymph nodes excised (%)	79	87	86
Laparoscopic surgery attempted (%)	36	55	67
Risk-adjusted length of stay > 5 days (%)	80	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	71	546	10794
Adjuvant chemotherapy (%)	59	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	114	3481
Neoadjuvant therapy (%)	58	53	38
Circumferential resection margin: Recorded (%)	100	93	89
Circumferential resection margin: Negative (%)	71	82	82
Rectal volume	13	121	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	109	855	19595
APER/Hartmanns (%)	39	44	36