This trust offers the following services:

• 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
• 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	210	1247	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	73	90	86
– Performance status (%)	100	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	124	760	15891
ASA grade 1 (%)	4	5	8
ASA grade 2 (%)	55	51	52
ASA grade 3 (%)	38	32	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	N/A	10	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	210	1247	28523
Seen by Clinical Nurse Specialist (%)	96	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	48	345	7393
Undergoing major resection (%)	83	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	124	760	15855
Distant metastases (%)	15	9	7
Urgent or emergency surgery (%)	19	16	20
At least 12 lymph nodes excised (%)	90	89	86
Laparoscopic surgery attempted (%)	77	70	67
Risk-adjusted length of stay > 5 days (%)	51	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	67	426	10794
Adjuvant chemotherapy (%)	60	59	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	176	3481
Neoadjuvant therapy (%)	23	23	38
Circumferential resection margin: Recorded (%)	100	93	89
Circumferential resection margin: Negative (%)	100	87	82
Rectal volume	25	161	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	127	904	19595
APER/Hartmanns (%)	30	36	36