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:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	221	1247	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	93	90	86
– Performance status (%)	99	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	131	760	15891
ASA grade 1 (%)	8	5	8
ASA grade 2 (%)	64	51	52
ASA grade 3 (%)	25	32	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	2	10	7
Data completeness of:
7 Audit items for risk-adjustment (%)	95	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	221	1247	28523
Seen by Clinical Nurse Specialist (%)	92	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	65	345	7393
Undergoing major resection (%)	83	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	131	760	15855
Distant metastases (%)	6	9	7
Urgent or emergency surgery (%)	16	16	20
At least 12 lymph nodes excised (%)	94	89	86
Laparoscopic surgery attempted (%)	83	70	67
Risk-adjusted length of stay > 5 days (%)	38	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	79	426	10794
Adjuvant chemotherapy (%)	53	59	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	41	176	3481
Neoadjuvant therapy (%)	24	23	38
Circumferential resection margin: Recorded (%)	98	93	89
Circumferential resection margin: Negative (%)	93	87	82
Rectal volume	35	161	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	140	904	19595
APER/Hartmanns (%)	27	36	36