This trust offers the following services:

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

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Oncology services:
• On-site chemotherapy services

• 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	299	2000	31676
Case ascertainment (%)	101	103	95
Data completeness of:
– Pre-treatment TNM (%)	85	77	80
– Performance status (%)	84	81	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	154	1222	19218
ASA grade 1 (%)	9	14	11
ASA grade 2 (%)	59	42	53
ASA grade 3 (%)	30	33	28
ASA grade 4+ (%)	2	4	3
ASA grade not recorded (%)	N/A	7	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	88	86

All Patients:	Trust	Network	National
Number of patients in Audit	299	2000	31676
Seen by Clinical Nurse Specialist (%)	82	89	87

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	83	510	7416
Undergoing major resection (%)	78	86	86

Patients having major resection:	Trust	Network	National
Number of patients in Audit	154	1222	19218
Distant metastases (%)	3	8	8
Urgent or emergency surgery (%)	12	15	15
At least 12 lymph nodes excised (%)	83	88	84
Laparoscopic surgery attempted (%)	62	83	69
Risk-adjusted length of stay > 5 days (%)	44	57	62

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	123	813	11837
Adjuvant chemotherapy (%)	60	60	62

Patients having major resection:	Trust	Network	National
Number of patients in Audit	41	283	4588
Neoadjuvant therapy (%)	13	36	33
Circumferential resection margin: Recorded (%)	100	91	90
Circumferential resection margin: Negative (%)	98	87	80
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	N/A	N/A	N/A
APER/Hartmanns (%)	N/A	N/A	N/A