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	218	1592	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	90	93	86
– Performance status (%)	100	95	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	784	15891
ASA grade 1 (%)	2	7	8
ASA grade 2 (%)	40	58	52
ASA grade 3 (%)	39	29	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	18	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	59	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	218	1592	28523
Seen by Clinical Nurse Specialist (%)	97	89	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	68	429	7393
Undergoing major resection (%)	59	77	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	784	15855
Distant metastases (%)	5	5	7
Urgent or emergency surgery (%)	9	14	20
At least 12 lymph nodes excised (%)	66	90	86
Laparoscopic surgery attempted (%)	83	75	67
Risk-adjusted length of stay > 5 days (%)	N/A	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	56	537	10794
Adjuvant chemotherapy (%)	70	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	194	3481
Neoadjuvant therapy (%)	69	36	38
Circumferential resection margin: Recorded (%)	38	84	89
Circumferential resection margin: Negative (%)	38	77	82
Rectal volume	15	174	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	111	1038	19595
APER/Hartmanns (%)	47	32	36