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 thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

• 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	334	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	85	91	86
– Performance status (%)	72	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	232	768	15891
ASA grade 1 (%)	10	7	8
ASA grade 2 (%)	51	61	52
ASA grade 3 (%)	35	28	31
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	2	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	334	1310	28523
Seen by Clinical Nurse Specialist (%)	74	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	76	388	7393
Undergoing major resection (%)	79	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	232	768	15855
Distant metastases (%)	9	8	7
Urgent or emergency surgery (%)	12	19	20
At least 12 lymph nodes excised (%)	85	91	86
Laparoscopic surgery attempted (%)	63	77	67
Risk-adjusted length of stay > 5 days (%)	73	67	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	126	457	10794
Adjuvant chemotherapy (%)	59	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	71	178	3481
Neoadjuvant therapy (%)	69	61	38
Circumferential resection margin: Recorded (%)	97	98	89
Circumferential resection margin: Negative (%)	87	90	82
Rectal volume	61	164	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	300	925	19595
APER/Hartmanns (%)	32	30	36