This trust offers the following services:

• Acute services:
• 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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	204	1851	35779
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	93	95	86
– Performance status (%)	97	96	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	778	19631
ASA grade 1 (%)	4	9	9
ASA grade 2 (%)	43	57	53
ASA grade 3 (%)	35	31	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	17	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	30	80	87

All Patients:	Trust	Network	National
Number of patients in Audit	204	1851	35779
Seen by Clinical Nurse Specialist (%)	98	89	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	778	19614
Distant metastases (%)	11	4	5
Urgent or emergency surgery (%)	9	13	15
At least 12 lymph nodes excised (%)	33	73	84
Laparoscopic surgery attempted (%)	91	80	72
Risk-adjusted length of stay > 5 days (%)	41	49	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	49	N/A	10747
Adjuvant chemotherapy (%)	69	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	36	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	29	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	N/A	4251
Neoadjuvant therapy (%)	24	N/A	33
Circumferential resection margin: Recorded (%)	N/A	81	89
Circumferential resection margin: Negative (%)	N/A	69	83
Rectal volume	16	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	119	1041	19644
APER/Hartmanns (%)	51	33	37