This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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

All Patients:	Trust	Network	National
Number of patients in Audit	272	936	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	90	91	86
– Performance status (%)	99	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	415	15891
ASA grade 1 (%)	9	8	8
ASA grade 2 (%)	75	59	52
ASA grade 3 (%)	16	26	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	92	87

All Patients:	Trust	Network	National
Number of patients in Audit	272	936	28523
Seen by Clinical Nurse Specialist (%)	82	76	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	73	244	7393
Undergoing major resection (%)	77	80	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	415	15855
Distant metastases (%)	5	5	7
Urgent or emergency surgery (%)	7	12	20
At least 12 lymph nodes excised (%)	92	91	86
Laparoscopic surgery attempted (%)	66	75	67
Risk-adjusted length of stay > 5 days (%)	44	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	106	371	10794
Adjuvant chemotherapy (%)	51	53	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	80	3481
Neoadjuvant therapy (%)	35	45	38
Circumferential resection margin: Recorded (%)	100	95	89
Circumferential resection margin: Negative (%)	100	85	82
Rectal volume	16	88	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	213	695	19595
APER/Hartmanns (%)	40	45	36