This trust offers the following services:

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

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• 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	223	816	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	90	86
– Performance status (%)	98	98	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	444	15891
ASA grade 1 (%)	5	8	8
ASA grade 2 (%)	34	54	52
ASA grade 3 (%)	12	23	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	48	13	7
Data completeness of:
7 Audit items for risk-adjustment (%)	52	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	223	816	28523
Seen by Clinical Nurse Specialist (%)	92	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	52	223	7393
Undergoing major resection (%)	77	78	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	444	15855
Distant metastases (%)	5	6	7
Urgent or emergency surgery (%)	21	14	20
At least 12 lymph nodes excised (%)	90	90	86
Laparoscopic surgery attempted (%)	53	50	67
Risk-adjusted length of stay > 5 days (%)	86	70	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	308	10794
Adjuvant chemotherapy (%)	66	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	104	3481
Neoadjuvant therapy (%)	34	43	38
Circumferential resection margin: Recorded (%)	100	84	89
Circumferential resection margin: Negative (%)	86	75	82
Rectal volume	37	113	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	172	505	19595
APER/Hartmanns (%)	34	36	36