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
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	166	638	32641
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	72	78	85
– Performance status (%)	100	94	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	462	18552
ASA grade 1 (%)	25	15	9
ASA grade 2 (%)	55	57	53
ASA grade 3 (%)	20	24	30
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	99	95	89

All Patients:	Trust	Network	National
Number of patients in Audit	166	638	29766
Seen by Clinical Nurse Specialist (%)	92	97	86

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	46	190	8157
Undergoing major resection (%)	87	93	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	462	18515
Distant metastases (%)	10	5	6
Urgent or emergency surgery (%)	11	9	21
At least 12 lymph nodes excised (%)	88	91	86
Laparoscopic surgery attempted (%)	82	67	71
Risk-adjusted length of stay > 5 days (%)	54	61	58

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	52	261	10335
Adjuvant chemotherapy (%)	62	67	63

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	106	4137
Neoadjuvant therapy (%)	53	43	34
Circumferential resection margin: Recorded (%)	100	100	90
Circumferential resection margin: Negative (%)	87	89	84
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	65	406	17956
APER/Hartmanns (%)	20	35	37