This trust offers the following services:

• Acute services:
• 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:
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Distal sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• Support service facilities:
• 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	564	2310	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	74	86	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	313	1175	19631
ASA grade 1 (%)	4	7	9
ASA grade 2 (%)	55	55	53
ASA grade 3 (%)	40	36	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	1	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	95	88	87

All Patients:	Trust	Network	National
Number of patients in Audit	564	2310	35779
Seen by Clinical Nurse Specialist (%)	76	86	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	313	1175	19614
Distant metastases (%)	3	4	5
Urgent or emergency surgery (%)	11	12	15
At least 12 lymph nodes excised (%)	88	81	84
Laparoscopic surgery attempted (%)	51	68	72
Risk-adjusted length of stay > 5 days (%)	53	58	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	164	N/A	10747
Adjuvant chemotherapy (%)	59	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	98	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	19	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	85	N/A	4251
Neoadjuvant therapy (%)	29	N/A	33
Circumferential resection margin: Recorded (%)	92	86	89
Circumferential resection margin: Negative (%)	84	80	83
Rectal volume	80	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	272	1244	19644
APER/Hartmanns (%)	33	35	37