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	144	437	28523
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	65	77	86
– Performance status (%)	99	91	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	102	332	15891
ASA grade 1 (%)	18	14	8
ASA grade 2 (%)	63	54	52
ASA grade 3 (%)	19	28	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	1	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	144	437	28523
Seen by Clinical Nurse Specialist (%)	85	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	28	144	7393
Undergoing major resection (%)	86	88	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	102	332	15855
Distant metastases (%)	11	8	7
Urgent or emergency surgery (%)	23	17	20
At least 12 lymph nodes excised (%)	84	90	86
Laparoscopic surgery attempted (%)	68	64	67
Risk-adjusted length of stay > 5 days (%)	62	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	68	262	10794
Adjuvant chemotherapy (%)	65	69	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	71	3481
Neoadjuvant therapy (%)	50	51	38
Circumferential resection margin: Recorded (%)	100	99	89
Circumferential resection margin: Negative (%)	95	90	82
Rectal volume	15	77	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	75	439	19595
APER/Hartmanns (%)	16	34	36