This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• 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:
• 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	198	1943	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	91	86
– Performance status (%)	98	84	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	1037	15891
ASA grade 1 (%)	10	7	8
ASA grade 2 (%)	76	62	52
ASA grade 3 (%)	15	26	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	N/A	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	86	87

All Patients:	Trust	Network	National
Number of patients in Audit	198	1943	28523
Seen by Clinical Nurse Specialist (%)	98	88	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	55	553	7393
Undergoing major resection (%)	89	84	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	1037	15855
Distant metastases (%)	2	5	7
Urgent or emergency surgery (%)	7	23	20
At least 12 lymph nodes excised (%)	92	80	86
Laparoscopic surgery attempted (%)	95	78	67
Risk-adjusted length of stay > 5 days (%)	15	48	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	54	620	10794
Adjuvant chemotherapy (%)	57	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	208	3481
Neoadjuvant therapy (%)	22	26	38
Circumferential resection margin: Recorded (%)	81	79	89
Circumferential resection margin: Negative (%)	78	72	82
Rectal volume	24	178	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	93	1067	19595
APER/Hartmanns (%)	51	31	36