This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1862	35779
Case ascertainment (%)	N/A	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	N/A	87	86
– Performance status (%)	N/A	89	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	62	994	19631
ASA grade 1 (%)	8	16	9
ASA grade 2 (%)	84	44	53
ASA grade 3 (%)	8	36	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1862	35779
Seen by Clinical Nurse Specialist (%)	N/A	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	62	994	19614
Distant metastases (%)	19	4	5
Urgent or emergency surgery (%)	N/A	12	15
At least 12 lymph nodes excised (%)	85	89	84
Laparoscopic surgery attempted (%)	29	63	72
Risk-adjusted length of stay > 5 days (%)	78	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	21	N/A	10747
Adjuvant chemotherapy (%)	62	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	385	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	21	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	N/A	4251
Neoadjuvant therapy (%)	56	N/A	33
Circumferential resection margin: Recorded (%)	100	96	89
Circumferential resection margin: Negative (%)	85	89	83
Rectal volume	29	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	118	809	19644
APER/Hartmanns (%)	78	43	37