This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT 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 Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• Intraoperative RTX
• HIPEC/cytoreductive surgery

• 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	231	1558	35779
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	89	81	86
– Performance status (%)	81	78	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	128	848	19631
ASA grade 1 (%)	91	22	9
ASA grade 2 (%)	6	52	53
ASA grade 3 (%)	1	21	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	2	4	4
Data completeness of:
7 Audit items for risk-adjustment (%)	91	93	87

All Patients:	Trust	Network	National
Number of patients in Audit	231	1558	35779
Seen by Clinical Nurse Specialist (%)	91	85	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	128	848	19614
Distant metastases (%)	3	6	5
Urgent or emergency surgery (%)	12	10	15
At least 12 lymph nodes excised (%)	92	93	84
Laparoscopic surgery attempted (%)	53	63	72
Risk-adjusted length of stay > 5 days (%)	84	74	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	66	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	70	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	22	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	N/A	4251
Neoadjuvant therapy (%)	20	N/A	33
Circumferential resection margin: Recorded (%)	95	98	89
Circumferential resection margin: Negative (%)	90	94	83
Rectal volume	24	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	111	985	19644
APER/Hartmanns (%)	27	31	37