This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	48	890	28523
Case ascertainment (%)	Poor	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	54	68	86
– Performance status (%)	73	69	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	33	508	15891
ASA grade 1 (%)	9	14	8
ASA grade 2 (%)	64	46	52
ASA grade 3 (%)	27	22	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	17	7
Data completeness of:
7 Audit items for risk-adjustment (%)	97	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	48	890	28523
Seen by Clinical Nurse Specialist (%)	81	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	10	191	7393
Undergoing major resection (%)	90	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	33	508	15855
Distant metastases (%)	6	5	7
Urgent or emergency surgery (%)	24	24	20
At least 12 lymph nodes excised (%)	92	93	86
Laparoscopic surgery attempted (%)	79	67	67
Risk-adjusted length of stay > 5 days (%)	56	55	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	60	359	10794
Adjuvant chemotherapy (%)	53	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	124	3481
Neoadjuvant therapy (%)	31	28	38
Circumferential resection margin: Recorded (%)	N/A	97	89
Circumferential resection margin: Negative (%)	N/A	90	82
Rectal volume	13	122	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	129	669	19595
APER/Hartmanns (%)	44	33	36