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	263	1200	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	92	96	86
– Performance status (%)	90	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	136	636	15891
ASA grade 1 (%)	33	12	8
ASA grade 2 (%)	48	57	52
ASA grade 3 (%)	18	28	31
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	N/A	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	263	1200	28523
Seen by Clinical Nurse Specialist (%)	88	91	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	94	320	7393
Undergoing major resection (%)	86	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	136	636	15855
Distant metastases (%)	6	5	7
Urgent or emergency surgery (%)	15	25	20
At least 12 lymph nodes excised (%)	92	92	86
Laparoscopic surgery attempted (%)	68	66	67
Risk-adjusted length of stay > 5 days (%)	65	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	130	519	10794
Adjuvant chemotherapy (%)	51	55	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	124	3481
Neoadjuvant therapy (%)	71	44	38
Circumferential resection margin: Recorded (%)	87	94	89
Circumferential resection margin: Negative (%)	70	84	82
Rectal volume	25	124	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	230	862	19595
APER/Hartmanns (%)	28	36	36