This trust offers the following services:

• 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:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• Intraoperative RTX

• 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	439	1079	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	95	86
– Performance status (%)	95	93	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	259	649	19631
ASA grade 1 (%)	2	7	9
ASA grade 2 (%)	56	48	53
ASA grade 3 (%)	41	43	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	N/A	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	97	87

All Patients:	Trust	Network	National
Number of patients in Audit	439	1079	35779
Seen by Clinical Nurse Specialist (%)	87	87	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	259	649	19614
Distant metastases (%)	3	5	5
Urgent or emergency surgery (%)	66	34	15
At least 12 lymph nodes excised (%)	79	85	84
Laparoscopic surgery attempted (%)	35	59	72
Risk-adjusted length of stay > 5 days (%)	63	51	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	144	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	99	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	19	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	52	N/A	4251
Neoadjuvant therapy (%)	42	N/A	33
Circumferential resection margin: Recorded (%)	87	93	89
Circumferential resection margin: Negative (%)	83	85	83
Rectal volume	51	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	228	667	19644
APER/Hartmanns (%)	34	46	37