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
• 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
• Complex vascular reconstruction
• Extended lymphadenectomy

• 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	366	1592	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	93	86
– Performance status (%)	98	95	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	242	784	15891
ASA grade 1 (%)	7	7	8
ASA grade 2 (%)	55	58	52
ASA grade 3 (%)	32	29	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	4	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	95	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	366	1592	28523
Seen by Clinical Nurse Specialist (%)	96	89	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	81	429	7393
Undergoing major resection (%)	91	77	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	242	784	15855
Distant metastases (%)	6	5	7
Urgent or emergency surgery (%)	16	14	20
At least 12 lymph nodes excised (%)	95	90	86
Laparoscopic surgery attempted (%)	62	75	67
Risk-adjusted length of stay > 5 days (%)	48	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	126	537	10794
Adjuvant chemotherapy (%)	71	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	55	194	3481
Neoadjuvant therapy (%)	20	36	38
Circumferential resection margin: Recorded (%)	96	84	89
Circumferential resection margin: Negative (%)	91	77	82
Rectal volume	55	174	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	298	1038	19595
APER/Hartmanns (%)	27	32	36