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	453	1857	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	92	74	86
– Performance status (%)	100	84	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	261	1031	15891
ASA grade 1 (%)	3	7	8
ASA grade 2 (%)	55	46	52
ASA grade 3 (%)	37	27	31
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	17	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	453	1857	28523
Seen by Clinical Nurse Specialist (%)	100	86	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	96	383	7393
Undergoing major resection (%)	78	85	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	261	1031	15855
Distant metastases (%)	10	8	7
Urgent or emergency surgery (%)	19	19	20
At least 12 lymph nodes excised (%)	73	86	86
Laparoscopic surgery attempted (%)	57	58	67
Risk-adjusted length of stay > 5 days (%)	56	61	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	165	766	10794
Adjuvant chemotherapy (%)	52	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	211	3481
Neoadjuvant therapy (%)	61	42	38
Circumferential resection margin: Recorded (%)	99	96	89
Circumferential resection margin: Negative (%)	92	91	82
Rectal volume	59	214	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	347	1302	19595
APER/Hartmanns (%)	52	42	36