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	162	1156	35779
Case ascertainment (%)	Poor	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	41	69	86
– Performance status (%)	100	78	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	777	19631
ASA grade 1 (%)	17	14	9
ASA grade 2 (%)	70	52	53
ASA grade 3 (%)	13	24	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	10	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	162	1156	35779
Seen by Clinical Nurse Specialist (%)	99	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	777	19614
Distant metastases (%)	3	3	5
Urgent or emergency surgery (%)	9	12	15
At least 12 lymph nodes excised (%)	94	93	84
Laparoscopic surgery attempted (%)	91	73	72
Risk-adjusted length of stay > 5 days (%)	56	53	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	41	N/A	10747
Adjuvant chemotherapy (%)	56	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	25	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	12	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	46	N/A	4251
Neoadjuvant therapy (%)	14	N/A	33
Circumferential resection margin: Recorded (%)	100	100	89
Circumferential resection margin: Negative (%)	93	95	83
Rectal volume	37	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	123	695	19644
APER/Hartmanns (%)	44	34	37