This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• 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 hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	413	1857	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	80	74	86
– Performance status (%)	98	84	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	224	1031	15891
ASA grade 1 (%)	4	7	8
ASA grade 2 (%)	65	46	52
ASA grade 3 (%)	29	27	31
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	N/A	17	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	413	1857	28523
Seen by Clinical Nurse Specialist (%)	91	86	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	117	383	7393
Undergoing major resection (%)	81	85	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	224	1031	15855
Distant metastases (%)	10	8	7
Urgent or emergency surgery (%)	24	19	20
At least 12 lymph nodes excised (%)	84	86	86
Laparoscopic surgery attempted (%)	71	58	67
Risk-adjusted length of stay > 5 days (%)	53	61	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	143	766	10794
Adjuvant chemotherapy (%)	71	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	211	3481
Neoadjuvant therapy (%)	31	42	38
Circumferential resection margin: Recorded (%)	100	96	89
Circumferential resection margin: Negative (%)	97	91	82
Rectal volume	42	214	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	242	1302	19595
APER/Hartmanns (%)	43	42	36