This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

• 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:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	226	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	84	80	86
– Performance status (%)	96	81	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	148	813	15891
ASA grade 1 (%)	9	23	8
ASA grade 2 (%)	53	41	52
ASA grade 3 (%)	24	18	31
ASA grade 4+ (%)	5	1	2
ASA grade not recorded (%)	8	16	7
Data completeness of:
7 Audit items for risk-adjustment (%)	88	79	87

All Patients:	Trust	Network	National
Number of patients in Audit	226	1301	28523
Seen by Clinical Nurse Specialist (%)	90	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	84	332	7393
Undergoing major resection (%)	89	87	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	148	813	15855
Distant metastases (%)	6	9	7
Urgent or emergency surgery (%)	16	11	20
At least 12 lymph nodes excised (%)	97	85	86
Laparoscopic surgery attempted (%)	49	66	67
Risk-adjusted length of stay > 5 days (%)	66	74	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	111	503	10794
Adjuvant chemotherapy (%)	65	58	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	35	170	3481
Neoadjuvant therapy (%)	38	37	38
Circumferential resection margin: Recorded (%)	97	89	89
Circumferential resection margin: Negative (%)	97	85	82
Rectal volume	72	194	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	254	891	19595
APER/Hartmanns (%)	35	31	36