This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• Diagnostic and pre-operative services:
• 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	377	2260	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	63	78	86
– Performance status (%)	81	80	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	207	1313	19631
ASA grade 1 (%)	6	9	9
ASA grade 2 (%)	50	48	53
ASA grade 3 (%)	40	34	31
ASA grade 4+ (%)	4	3	2
ASA grade not recorded (%)	N/A	6	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	377	2260	35779
Seen by Clinical Nurse Specialist (%)	21	76	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	207	1313	19614
Distant metastases (%)	6	5	5
Urgent or emergency surgery (%)	15	13	15
At least 12 lymph nodes excised (%)	90	82	84
Laparoscopic surgery attempted (%)	67	79	72
Risk-adjusted length of stay > 5 days (%)	33	39	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	118	N/A	10747
Adjuvant chemotherapy (%)	65	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	74	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	16	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	N/A	4251
Neoadjuvant therapy (%)	20	N/A	33
Circumferential resection margin: Recorded (%)	100	87	89
Circumferential resection margin: Negative (%)	96	83	83
Rectal volume	48	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	210	1373	19644
APER/Hartmanns (%)	44	39	37