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
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• 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	331	1439	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	77	92	86
– Performance status (%)	100	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	196	692	15891
ASA grade 1 (%)	2	5	8
ASA grade 2 (%)	68	53	52
ASA grade 3 (%)	21	28	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	9	11	7
Data completeness of:
7 Audit items for risk-adjustment (%)	91	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	331	1439	28523
Seen by Clinical Nurse Specialist (%)	5	64	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	76	418	7393
Undergoing major resection (%)	82	78	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	196	692	15855
Distant metastases (%)	7	6	7
Urgent or emergency surgery (%)	9	11	20
At least 12 lymph nodes excised (%)	100	80	86
Laparoscopic surgery attempted (%)	56	73	67
Risk-adjusted length of stay > 5 days (%)	52	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	108	525	10794
Adjuvant chemotherapy (%)	68	65	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	158	3481
Neoadjuvant therapy (%)	17	27	38
Circumferential resection margin: Recorded (%)	98	85	89
Circumferential resection margin: Negative (%)	95	80	82
Rectal volume	55	153	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	322	1012	19595
APER/Hartmanns (%)	13	26	36