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	1302	28523
Case ascertainment (%)	N/A	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	N/A	92	86
– Performance status (%)	N/A	87	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	635	15891
ASA grade 1 (%)	4	11	8
ASA grade 2 (%)	93	55	52
ASA grade 3 (%)	2	29	31
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	N/A	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	94	87

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1301	28523
Seen by Clinical Nurse Specialist (%)	N/A	90	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	320	7393
Undergoing major resection (%)	N/A	73	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	635	15855
Distant metastases (%)	15	6	7
Urgent or emergency surgery (%)	1	27	20
At least 12 lymph nodes excised (%)	93	87	86
Laparoscopic surgery attempted (%)	44	55	67
Risk-adjusted length of stay > 5 days (%)	87	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	14	546	10794
Adjuvant chemotherapy (%)	43	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	114	3481
Neoadjuvant therapy (%)	70	53	38
Circumferential resection margin: Recorded (%)	100	93	89
Circumferential resection margin: Negative (%)	85	82	82
Rectal volume	30	121	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	101	855	19595
APER/Hartmanns (%)	87	44	36