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
• Robotic surgery

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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	300	1582	35779
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	96	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	882	19631
ASA grade 1 (%)	21	11	9
ASA grade 2 (%)	62	56	53
ASA grade 3 (%)	10	29	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	7	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	67	87	87

All Patients:	Trust	Network	National
Number of patients in Audit	300	1582	35779
Seen by Clinical Nurse Specialist (%)	99	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	882	19614
Distant metastases (%)	2	3	5
Urgent or emergency surgery (%)	6	16	15
At least 12 lymph nodes excised (%)	69	83	84
Laparoscopic surgery attempted (%)	74	69	72
Risk-adjusted length of stay > 5 days (%)	63	64	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	100	N/A	10747
Adjuvant chemotherapy (%)	52	N/A	62

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

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	N/A	4251
Neoadjuvant therapy (%)	47	N/A	33
Circumferential resection margin: Recorded (%)	63	86	89
Circumferential resection margin: Negative (%)	30	75	83
Rectal volume	42	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	216	838	19644
APER/Hartmanns (%)	31	37	37