This trust offers the following services:

• 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:
• Robotic surgery

• Advanced disease services:
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	242	1100	35779
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	89	89	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	124	553	19631
ASA grade 1 (%)	3	13	9
ASA grade 2 (%)	57	57	53
ASA grade 3 (%)	38	20	31
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	N/A	7	4
Data completeness of:
7 Audit items for risk-adjustment (%)	86	75	87

All Patients:	Trust	Network	National
Number of patients in Audit	242	1100	35779
Seen by Clinical Nurse Specialist (%)	98	95	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	124	553	19614
Distant metastases (%)	7	7	5
Urgent or emergency surgery (%)	9	11	15
At least 12 lymph nodes excised (%)	84	78	84
Laparoscopic surgery attempted (%)	73	62	72
Risk-adjusted length of stay > 5 days (%)	62	68	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	39	N/A	10747
Adjuvant chemotherapy (%)	69	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	29	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	17	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	N/A	4251
Neoadjuvant therapy (%)	55	N/A	33
Circumferential resection margin: Recorded (%)	90	79	89
Circumferential resection margin: Negative (%)	80	70	83
Rectal volume	29	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	55	524	19644
APER/Hartmanns (%)	44	37	37