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	350	1965	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	70	75	86
– Performance status (%)	80	79	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	197	1125	15891
ASA grade 1 (%)	5	7	8
ASA grade 2 (%)	60	50	52
ASA grade 3 (%)	29	33	31
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	4	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	350	1965	28523
Seen by Clinical Nurse Specialist (%)	35	69	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	79	461	7393
Undergoing major resection (%)	71	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	197	1125	15855
Distant metastases (%)	5	5	7
Urgent or emergency surgery (%)	17	17	20
At least 12 lymph nodes excised (%)	92	90	86
Laparoscopic surgery attempted (%)	78	81	67
Risk-adjusted length of stay > 5 days (%)	37	47	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	658	10794
Adjuvant chemotherapy (%)	58	54	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	270	3481
Neoadjuvant therapy (%)	27	33	38
Circumferential resection margin: Recorded (%)	100	92	89
Circumferential resection margin: Negative (%)	96	87	82
Rectal volume	47	261	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	179	1328	19595
APER/Hartmanns (%)	39	37	36