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:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	235	2258	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	59	79	86
– Performance status (%)	82	92	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	163	1187	19631
ASA grade 1 (%)	2	8	9
ASA grade 2 (%)	27	52	53
ASA grade 3 (%)	18	30	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	51	8	4
Data completeness of:
7 Audit items for risk-adjustment (%)	48	89	87

All Patients:	Trust	Network	National
Number of patients in Audit	235	2258	35779
Seen by Clinical Nurse Specialist (%)	95	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	163	1187	19614
Distant metastases (%)	11	5	5
Urgent or emergency surgery (%)	15	14	15
At least 12 lymph nodes excised (%)	91	85	84
Laparoscopic surgery attempted (%)	74	71	72
Risk-adjusted length of stay > 5 days (%)	48	56	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	85	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	52	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	23	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	36	N/A	4251
Neoadjuvant therapy (%)	25	N/A	33
Circumferential resection margin: Recorded (%)	86	94	89
Circumferential resection margin: Negative (%)	86	88	83
Rectal volume	38	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	150	1284	19644
APER/Hartmanns (%)	43	43	37