This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• Diagnostic and pre-operative services:
• Age Specific Genetic Testing for Lynch Syndrome

• 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	242	410	28523
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	80	85	86
– Performance status (%)	100	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	132	235	15891
ASA grade 1 (%)	14	10	8
ASA grade 2 (%)	52	45	52
ASA grade 3 (%)	29	27	31
ASA grade 4+ (%)	6	3	2
ASA grade not recorded (%)	N/A	14	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	62	87

All Patients:	Trust	Network	National
Number of patients in Audit	242	410	28523
Seen by Clinical Nurse Specialist (%)	93	96	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	61	110	7393
Undergoing major resection (%)	89	87	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	132	235	15855
Distant metastases (%)	4	3	7
Urgent or emergency surgery (%)	26	23	20
At least 12 lymph nodes excised (%)	87	59	86
Laparoscopic surgery attempted (%)	58	67	67
Risk-adjusted length of stay > 5 days (%)	53	56	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	112	188	10794
Adjuvant chemotherapy (%)	63	61	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	18	35	3481
Neoadjuvant therapy (%)	56	54	38
Circumferential resection margin: Recorded (%)	100	66	89
Circumferential resection margin: Negative (%)	89	57	82
Rectal volume	23	37	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	139	226	19595
APER/Hartmanns (%)	30	32	36