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:
• On-site hepatobiliary surgical team
• Robotic surgery

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

• 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1247	28523
Case ascertainment (%)	Poor	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	N/A	90	86
– Performance status (%)	N/A	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	760	15891
ASA grade 1 (%)	N/A	5	8
ASA grade 2 (%)	N/A	51	52
ASA grade 3 (%)	N/A	32	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	10	7
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1247	28523
Seen by Clinical Nurse Specialist (%)	N/A	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	345	7393
Undergoing major resection (%)	N/A	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	760	15855
Distant metastases (%)	N/A	9	7
Urgent or emergency surgery (%)	N/A	16	20
At least 12 lymph nodes excised (%)	N/A	89	86
Laparoscopic surgery attempted (%)	N/A	70	67
Risk-adjusted length of stay > 5 days (%)	N/A	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	426	10794
Adjuvant chemotherapy (%)	N/A	59	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	176	3481
Neoadjuvant therapy (%)	N/A	23	38
Circumferential resection margin: Recorded (%)	N/A	93	89
Circumferential resection margin: Negative (%)	N/A	87	82
Rectal volume	N/A	161	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	35	904	19595
APER/Hartmanns (%)	23	36	36