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:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• HIPEC/cytoreductive surgery

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	71	410	28523
Case ascertainment (%)	Poor	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	96	85	86
– Performance status (%)	96	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	235	15891
ASA grade 1 (%)	8	10	8
ASA grade 2 (%)	51	45	52
ASA grade 3 (%)	34	27	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	7	14	7
Data completeness of:
7 Audit items for risk-adjustment (%)	26	62	87

All Patients:	Trust	Network	National
Number of patients in Audit	71	410	28523
Seen by Clinical Nurse Specialist (%)	100	96	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	29	110	7393
Undergoing major resection (%)	93	87	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	235	15855
Distant metastases (%)	N/A	3	7
Urgent or emergency surgery (%)	16	23	20
At least 12 lymph nodes excised (%)	25	59	86
Laparoscopic surgery attempted (%)	86	67	67
Risk-adjusted length of stay > 5 days (%)	62	56	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	36	188	10794
Adjuvant chemotherapy (%)	53	61	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	35	3481
Neoadjuvant therapy (%)	33	54	38
Circumferential resection margin: Recorded (%)	33	66	89
Circumferential resection margin: Negative (%)	27	57	82
Rectal volume	N/A	37	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	56	226	19595
APER/Hartmanns (%)	36	32	36