This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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 MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	105	606	35779
Case ascertainment (%)	Fair	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	75	79	86
– Performance status (%)	91	90	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	99	453	19631
ASA grade 1 (%)	20	10	9
ASA grade 2 (%)	61	60	53
ASA grade 3 (%)	13	26	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	4	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	92	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	105	606	35779
Seen by Clinical Nurse Specialist (%)	99	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	99	453	19614
Distant metastases (%)	3	3	5
Urgent or emergency surgery (%)	7	8	15
At least 12 lymph nodes excised (%)	92	92	84
Laparoscopic surgery attempted (%)	87	71	72
Risk-adjusted length of stay > 5 days (%)	75	68	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	37	N/A	10747
Adjuvant chemotherapy (%)	65	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	N/A	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	N/A	4251
Neoadjuvant therapy (%)	18	N/A	33
Circumferential resection margin: Recorded (%)	100	97	89
Circumferential resection margin: Negative (%)	96	85	83
Rectal volume	30	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	94	446	19644
APER/Hartmanns (%)	22	35	37