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:
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services
• 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	401	890	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	67	68	86
– Performance status (%)	43	69	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	194	508	15891
ASA grade 1 (%)	24	14	8
ASA grade 2 (%)	39	46	52
ASA grade 3 (%)	9	22	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	28	17	7
Data completeness of:
7 Audit items for risk-adjustment (%)	72	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	401	890	28523
Seen by Clinical Nurse Specialist (%)	98	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	86	191	7393
Undergoing major resection (%)	80	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	194	508	15855
Distant metastases (%)	4	5	7
Urgent or emergency surgery (%)	23	24	20
At least 12 lymph nodes excised (%)	97	93	86
Laparoscopic surgery attempted (%)	61	67	67
Risk-adjusted length of stay > 5 days (%)	41	55	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	102	359	10794
Adjuvant chemotherapy (%)	43	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	44	124	3481
Neoadjuvant therapy (%)	46	28	38
Circumferential resection margin: Recorded (%)	98	97	89
Circumferential resection margin: Negative (%)	89	90	82
Rectal volume	38	122	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	195	669	19595
APER/Hartmanns (%)	24	33	36