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

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

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	276	1146	35779
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	94	90	86
– Performance status (%)	97	94	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	195	638	19631
ASA grade 1 (%)	6	7	9
ASA grade 2 (%)	52	54	53
ASA grade 3 (%)	39	36	31
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	1	N/A	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	97	87

All Patients:	Trust	Network	National
Number of patients in Audit	276	1146	35779
Seen by Clinical Nurse Specialist (%)	93	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	195	638	19614
Distant metastases (%)	7	9	5
Urgent or emergency surgery (%)	10	13	15
At least 12 lymph nodes excised (%)	92	88	84
Laparoscopic surgery attempted (%)	66	73	72
Risk-adjusted length of stay > 5 days (%)	55	46	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	122	N/A	10747
Adjuvant chemotherapy (%)	61	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	72	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	24	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	N/A	4251
Neoadjuvant therapy (%)	27	N/A	33
Circumferential resection margin: Recorded (%)	93	91	89
Circumferential resection margin: Negative (%)	79	82	83
Rectal volume	54	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	159	774	19644
APER/Hartmanns (%)	52	41	37