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	410	1808	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	68	82	86
– Performance status (%)	96	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	230	1002	15891
ASA grade 1 (%)	3	8	8
ASA grade 2 (%)	47	56	52
ASA grade 3 (%)	35	30	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	13	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	84	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	410	1808	28523
Seen by Clinical Nurse Specialist (%)	72	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	122	525	7393
Undergoing major resection (%)	83	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	230	1002	15855
Distant metastases (%)	4	5	7
Urgent or emergency surgery (%)	13	23	20
At least 12 lymph nodes excised (%)	91	80	86
Laparoscopic surgery attempted (%)	67	65	67
Risk-adjusted length of stay > 5 days (%)	52	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	127	649	10794
Adjuvant chemotherapy (%)	57	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	53	207	3481
Neoadjuvant therapy (%)	30	38	38
Circumferential resection margin: Recorded (%)	94	84	89
Circumferential resection margin: Negative (%)	89	76	82
Rectal volume	55	201	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	265	1279	19595
APER/Hartmanns (%)	31	34	36