This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• 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	162	606	35779
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	69	79	86
– Performance status (%)	100	90	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	453	19631
ASA grade 1 (%)	13	10	9
ASA grade 2 (%)	53	60	53
ASA grade 3 (%)	30	26	31
ASA grade 4+ (%)	4	2	2
ASA grade not recorded (%)	N/A	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	162	606	35779
Seen by Clinical Nurse Specialist (%)	87	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	453	19614
Distant metastases (%)	6	3	5
Urgent or emergency surgery (%)	5	8	15
At least 12 lymph nodes excised (%)	88	92	84
Laparoscopic surgery attempted (%)	85	71	72
Risk-adjusted length of stay > 5 days (%)	69	68	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	60	N/A	10747
Adjuvant chemotherapy (%)	70	N/A	62

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

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	N/A	4251
Neoadjuvant therapy (%)	55	N/A	33
Circumferential resection margin: Recorded (%)	100	97	89
Circumferential resection margin: Negative (%)	88	85	83
Rectal volume	29	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	82	446	19644
APER/Hartmanns (%)	11	35	37