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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High 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

All Patients:	Trust	Network	National
Number of patients in Audit	158	1965	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	94	75	86
– Performance status (%)	99	79	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	1125	15891
ASA grade 1 (%)	8	7	8
ASA grade 2 (%)	45	50	52
ASA grade 3 (%)	41	33	31
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	3	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	95	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	158	1965	28523
Seen by Clinical Nurse Specialist (%)	89	69	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	43	461	7393
Undergoing major resection (%)	88	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	1125	15855
Distant metastases (%)	2	5	7
Urgent or emergency surgery (%)	14	17	20
At least 12 lymph nodes excised (%)	100	90	86
Laparoscopic surgery attempted (%)	62	81	67
Risk-adjusted length of stay > 5 days (%)	69	47	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	95	658	10794
Adjuvant chemotherapy (%)	37	54	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	35	270	3481
Neoadjuvant therapy (%)	68	33	38
Circumferential resection margin: Recorded (%)	100	92	89
Circumferential resection margin: Negative (%)	94	87	82
Rectal volume	34	261	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	213	1328	19595
APER/Hartmanns (%)	38	37	36