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
• 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
• Complex vascular reconstruction
• Distal sacrectomy
• High 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	451	3482	35779
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	83	86
– Performance status (%)	99	90	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	287	2135	19631
ASA grade 1 (%)	6	5	9
ASA grade 2 (%)	65	53	53
ASA grade 3 (%)	17	34	31
ASA grade 4+ (%)	3	4	2
ASA grade not recorded (%)	9	4	4
Data completeness of:
7 Audit items for risk-adjustment (%)	76	87	87

All Patients:	Trust	Network	National
Number of patients in Audit	451	3482	35779
Seen by Clinical Nurse Specialist (%)	91	89	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	287	2135	19614
Distant metastases (%)	5	4	5
Urgent or emergency surgery (%)	24	24	15
At least 12 lymph nodes excised (%)	79	82	84
Laparoscopic surgery attempted (%)	64	72	72
Risk-adjusted length of stay > 5 days (%)	60	49	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	157	N/A	10747
Adjuvant chemotherapy (%)	57	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	137	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	26	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	N/A	4251
Neoadjuvant therapy (%)	44	N/A	33
Circumferential resection margin: Recorded (%)	79	88	89
Circumferential resection margin: Negative (%)	73	81	83
Rectal volume	53	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	342	2273	19644
APER/Hartmanns (%)	38	38	37