This trust offers the following services:

• 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 thoracic surgical team
• Robotic surgery

• Advanced disease services:
• 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	242	3047	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	90	86	86
– Performance status (%)	70	82	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	141	1719	15891
ASA grade 1 (%)	3	7	8
ASA grade 2 (%)	50	49	52
ASA grade 3 (%)	30	36	31
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	13	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	85	85	87

All Patients:	Trust	Network	National
Number of patients in Audit	242	3047	28523
Seen by Clinical Nurse Specialist (%)	84	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	63	762	7393
Undergoing major resection (%)	87	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	141	1719	15855
Distant metastases (%)	9	6	7
Urgent or emergency surgery (%)	20	23	20
At least 12 lymph nodes excised (%)	92	84	86
Laparoscopic surgery attempted (%)	47	63	67
Risk-adjusted length of stay > 5 days (%)	66	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	89	1146	10794
Adjuvant chemotherapy (%)	72	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	415	3481
Neoadjuvant therapy (%)	50	35	38
Circumferential resection margin: Recorded (%)	97	83	89
Circumferential resection margin: Negative (%)	90	77	82
Rectal volume	33	406	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	223	2225	19595
APER/Hartmanns (%)	30	35	36