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

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	288	1808	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	78	82	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	172	1002	15891
ASA grade 1 (%)	3	8	8
ASA grade 2 (%)	60	56	52
ASA grade 3 (%)	30	30	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	3	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	97	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	288	1808	28523
Seen by Clinical Nurse Specialist (%)	100	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	73	525	7393
Undergoing major resection (%)	85	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	172	1002	15855
Distant metastases (%)	6	5	7
Urgent or emergency surgery (%)	12	23	20
At least 12 lymph nodes excised (%)	95	80	86
Laparoscopic surgery attempted (%)	50	65	67
Risk-adjusted length of stay > 5 days (%)	74	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	91	649	10794
Adjuvant chemotherapy (%)	64	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	42	207	3481
Neoadjuvant therapy (%)	86	38	38
Circumferential resection margin: Recorded (%)	100	84	89
Circumferential resection margin: Negative (%)	93	76	82
Rectal volume	28	201	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	238	1279	19595
APER/Hartmanns (%)	35	34	36