This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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:
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• 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	462	2258	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	86	79	86
– Performance status (%)	100	92	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	274	1187	19631
ASA grade 1 (%)	1	8	9
ASA grade 2 (%)	57	52	53
ASA grade 3 (%)	40	30	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	N/A	8	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	89	87

All Patients:	Trust	Network	National
Number of patients in Audit	462	2258	35779
Seen by Clinical Nurse Specialist (%)	100	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	274	1187	19614
Distant metastases (%)	1	5	5
Urgent or emergency surgery (%)	11	14	15
At least 12 lymph nodes excised (%)	77	85	84
Laparoscopic surgery attempted (%)	71	71	72
Risk-adjusted length of stay > 5 days (%)	56	56	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	156	N/A	10747
Adjuvant chemotherapy (%)	53	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	82	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	32	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	77	N/A	4251
Neoadjuvant therapy (%)	74	N/A	33
Circumferential resection margin: Recorded (%)	100	94	89
Circumferential resection margin: Negative (%)	94	88	83
Rectal volume	68	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	349	1284	19644
APER/Hartmanns (%)	48	43	37