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	184	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	97	80	86
– Performance status (%)	100	81	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	111	813	15891
ASA grade 1 (%)	85	23	8
ASA grade 2 (%)	10	41	52
ASA grade 3 (%)	5	18	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	16	7
Data completeness of:
7 Audit items for risk-adjustment (%)	97	79	87

All Patients:	Trust	Network	National
Number of patients in Audit	184	1301	28523
Seen by Clinical Nurse Specialist (%)	100	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	53	332	7393
Undergoing major resection (%)	83	87	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	111	813	15855
Distant metastases (%)	8	9	7
Urgent or emergency surgery (%)	1	11	20
At least 12 lymph nodes excised (%)	99	85	86
Laparoscopic surgery attempted (%)	86	66	67
Risk-adjusted length of stay > 5 days (%)	87	74	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	76	503	10794
Adjuvant chemotherapy (%)	49	58	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	18	170	3481
Neoadjuvant therapy (%)	43	37	38
Circumferential resection margin: Recorded (%)	100	89	89
Circumferential resection margin: Negative (%)	89	85	82
Rectal volume	16	194	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	117	891	19595
APER/Hartmanns (%)	26	31	36