This trust offers the following services:

• Acute services:
• 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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• 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	156	528	35779
Case ascertainment (%)	Fair	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	82	82	86
– Performance status (%)	97	62	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	345	19631
ASA grade 1 (%)	41	18	9
ASA grade 2 (%)	43	51	53
ASA grade 3 (%)	16	30	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	97	86	87

All Patients:	Trust	Network	National
Number of patients in Audit	156	528	35779
Seen by Clinical Nurse Specialist (%)	96	85	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	345	19614
Distant metastases (%)	6	9	5
Urgent or emergency surgery (%)	5	17	15
At least 12 lymph nodes excised (%)	98	83	84
Laparoscopic surgery attempted (%)	78	73	72
Risk-adjusted length of stay > 5 days (%)	85	66	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	49	N/A	10747
Adjuvant chemotherapy (%)	59	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	30	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	30	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	N/A	4251
Neoadjuvant therapy (%)	N/A	N/A	33
Circumferential resection margin: Recorded (%)	100	91	89
Circumferential resection margin: Negative (%)	100	86	83
Rectal volume	N/A	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	94	241	19644
APER/Hartmanns (%)	37	24	37