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	512	3047	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	86	86
– Performance status (%)	62	82	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	276	1719	15891
ASA grade 1 (%)	7	7	8
ASA grade 2 (%)	54	49	52
ASA grade 3 (%)	26	36	31
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	10	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	65	85	87

All Patients:	Trust	Network	National
Number of patients in Audit	512	3047	28523
Seen by Clinical Nurse Specialist (%)	81	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	124	762	7393
Undergoing major resection (%)	81	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	276	1719	15855
Distant metastases (%)	4	6	7
Urgent or emergency surgery (%)	42	23	20
At least 12 lymph nodes excised (%)	67	84	86
Laparoscopic surgery attempted (%)	42	63	67
Risk-adjusted length of stay > 5 days (%)	50	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	150	1146	10794
Adjuvant chemotherapy (%)	51	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	60	415	3481
Neoadjuvant therapy (%)	62	35	38
Circumferential resection margin: Recorded (%)	62	83	89
Circumferential resection margin: Negative (%)	58	77	82
Rectal volume	55	406	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	352	2225	19595
APER/Hartmanns (%)	38	35	36