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	145	816	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	92	90	86
– Performance status (%)	100	98	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	444	15891
ASA grade 1 (%)	1	8	8
ASA grade 2 (%)	51	54	52
ASA grade 3 (%)	43	23	31
ASA grade 4+ (%)	5	2	2
ASA grade not recorded (%)	N/A	13	7
Data completeness of:
7 Audit items for risk-adjustment (%)	93	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	145	816	28523
Seen by Clinical Nurse Specialist (%)	88	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	42	223	7393
Undergoing major resection (%)	67	78	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	444	15855
Distant metastases (%)	8	6	7
Urgent or emergency surgery (%)	11	14	20
At least 12 lymph nodes excised (%)	76	90	86
Laparoscopic surgery attempted (%)	70	50	67
Risk-adjusted length of stay > 5 days (%)	68	70	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	21	308	10794
Adjuvant chemotherapy (%)	71	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	104	3481
Neoadjuvant therapy (%)	35	43	38
Circumferential resection margin: Recorded (%)	63	84	89
Circumferential resection margin: Negative (%)	46	75	82
Rectal volume	27	113	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	46	505	19595
APER/Hartmanns (%)	30	36	36