This trust offers the following services:

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

• 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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	67	437	28523
Case ascertainment (%)	Poor	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	94	77	86
– Performance status (%)	100	91	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	61	332	15891
ASA grade 1 (%)	16	14	8
ASA grade 2 (%)	52	54	52
ASA grade 3 (%)	30	28	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	N/A	1	7
Data completeness of:
7 Audit items for risk-adjustment (%)	90	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	67	437	28523
Seen by Clinical Nurse Specialist (%)	100	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	21	144	7393
Undergoing major resection (%)	100	88	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	61	332	15855
Distant metastases (%)	7	8	7
Urgent or emergency surgery (%)	21	17	20
At least 12 lymph nodes excised (%)	85	90	86
Laparoscopic surgery attempted (%)	80	64	67
Risk-adjusted length of stay > 5 days (%)	49	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	28	262	10794
Adjuvant chemotherapy (%)	71	69	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	71	3481
Neoadjuvant therapy (%)	77	51	38
Circumferential resection margin: Recorded (%)	91	99	89
Circumferential resection margin: Negative (%)	91	90	82
Rectal volume	11	77	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	91	439	19595
APER/Hartmanns (%)	19	34	36