This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific 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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	123	579	31676
Case ascertainment (%)	75	80	95
Data completeness of:
– Pre-treatment TNM (%)	60	69	80
– Performance status (%)	100	99	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	446	19218
ASA grade 1 (%)	25	12	11
ASA grade 2 (%)	54	53	53
ASA grade 3 (%)	21	28	28
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	N/A	6	5
Data completeness of:
7 Audit items for risk-adjustment (%)	98	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	123	579	31676
Seen by Clinical Nurse Specialist (%)	96	98	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	19	134	7416
Undergoing major resection (%)	95	93	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	446	19218
Distant metastases (%)	11	7	8
Urgent or emergency surgery (%)	21	12	15
At least 12 lymph nodes excised (%)	93	94	84
Laparoscopic surgery attempted (%)	75	64	69
Risk-adjusted length of stay > 5 days (%)	61	62	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	54	303	11837
Adjuvant chemotherapy (%)	70	73	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	100	4588
Neoadjuvant therapy (%)	42	45	33
Circumferential resection margin: Recorded (%)	100	99	90
Circumferential resection margin: Negative (%)	95	88	80
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	N/A	N/A	N/A
APER/Hartmanns (%)	N/A	N/A	N/A