This trust offers the following services:

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

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	220	1592	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	89	93	86
– Performance status (%)	93	95	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	784	15891
ASA grade 1 (%)	3	7	8
ASA grade 2 (%)	61	58	52
ASA grade 3 (%)	28	29	31
ASA grade 4+ (%)	4	2	2
ASA grade not recorded (%)	3	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	220	1592	28523
Seen by Clinical Nurse Specialist (%)	57	89	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	62	429	7393
Undergoing major resection (%)	76	77	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	784	15855
Distant metastases (%)	N/A	5	7
Urgent or emergency surgery (%)	17	14	20
At least 12 lymph nodes excised (%)	95	90	86
Laparoscopic surgery attempted (%)	74	75	67
Risk-adjusted length of stay > 5 days (%)	48	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	103	537	10794
Adjuvant chemotherapy (%)	65	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	39	194	3481
Neoadjuvant therapy (%)	32	36	38
Circumferential resection margin: Recorded (%)	97	84	89
Circumferential resection margin: Negative (%)	85	77	82
Rectal volume	33	174	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	171	1038	19595
APER/Hartmanns (%)	24	32	36