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
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• 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	257	1001	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	89	86
– Performance status (%)	98	100	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	178	611	15891
ASA grade 1 (%)	3	6	8
ASA grade 2 (%)	46	54	52
ASA grade 3 (%)	47	37	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	1	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	257	1001	28523
Seen by Clinical Nurse Specialist (%)	92	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	78	318	7393
Undergoing major resection (%)	82	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	178	611	15855
Distant metastases (%)	8	7	7
Urgent or emergency surgery (%)	16	15	20
At least 12 lymph nodes excised (%)	94	91	86
Laparoscopic surgery attempted (%)	70	74	67
Risk-adjusted length of stay > 5 days (%)	60	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	396	10794
Adjuvant chemotherapy (%)	57	58	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	138	3481
Neoadjuvant therapy (%)	53	35	38
Circumferential resection margin: Recorded (%)	100	99	89
Circumferential resection margin: Negative (%)	93	94	82
Rectal volume	37	135	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	142	752	19595
APER/Hartmanns (%)	47	39	36