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

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

• 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	281	1439	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	92	86
– Performance status (%)	99	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	133	692	15891
ASA grade 1 (%)	10	5	8
ASA grade 2 (%)	47	53	52
ASA grade 3 (%)	38	28	31
ASA grade 4+ (%)	5	2	2
ASA grade not recorded (%)	N/A	11	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	281	1439	28523
Seen by Clinical Nurse Specialist (%)	90	64	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	81	418	7393
Undergoing major resection (%)	89	78	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	133	692	15855
Distant metastases (%)	8	6	7
Urgent or emergency surgery (%)	11	11	20
At least 12 lymph nodes excised (%)	91	80	86
Laparoscopic surgery attempted (%)	70	73	67
Risk-adjusted length of stay > 5 days (%)	54	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	127	525	10794
Adjuvant chemotherapy (%)	67	65	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	158	3481
Neoadjuvant therapy (%)	36	27	38
Circumferential resection margin: Recorded (%)	94	85	89
Circumferential resection margin: Negative (%)	91	80	82
Rectal volume	45	153	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	225	1012	19595
APER/Hartmanns (%)	36	26	36