This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	206	1200	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	97	96	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	102	636	15891
ASA grade 1 (%)	5	12	8
ASA grade 2 (%)	59	57	52
ASA grade 3 (%)	35	28	31
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	N/A	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	206	1200	28523
Seen by Clinical Nurse Specialist (%)	83	91	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	40	320	7393
Undergoing major resection (%)	73	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	102	636	15855
Distant metastases (%)	4	5	7
Urgent or emergency surgery (%)	20	25	20
At least 12 lymph nodes excised (%)	88	92	86
Laparoscopic surgery attempted (%)	68	66	67
Risk-adjusted length of stay > 5 days (%)	55	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	79	519	10794
Adjuvant chemotherapy (%)	51	55	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	124	3481
Neoadjuvant therapy (%)	35	44	38
Circumferential resection margin: Recorded (%)	96	94	89
Circumferential resection margin: Negative (%)	84	84	82
Rectal volume	23	124	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	107	862	19595
APER/Hartmanns (%)	40	36	36