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	282	790	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	94	86
– Performance status (%)	88	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	189	520	15891
ASA grade 1 (%)	4	5	8
ASA grade 2 (%)	44	39	52
ASA grade 3 (%)	47	50	31
ASA grade 4+ (%)	1	4	2
ASA grade not recorded (%)	4	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	88	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	282	790	28523
Seen by Clinical Nurse Specialist (%)	76	88	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	79	211	7393
Undergoing major resection (%)	87	88	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	189	520	15855
Distant metastases (%)	5	6	7
Urgent or emergency surgery (%)	66	41	20
At least 12 lymph nodes excised (%)	81	82	86
Laparoscopic surgery attempted (%)	26	57	67
Risk-adjusted length of stay > 5 days (%)	70	53	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	144	362	10794
Adjuvant chemotherapy (%)	64	62	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	120	3481
Neoadjuvant therapy (%)	54	61	38
Circumferential resection margin: Recorded (%)	85	93	89
Circumferential resection margin: Negative (%)	79	83	82
Rectal volume	44	114	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	209	654	19595
APER/Hartmanns (%)	37	48	36