This trust offers the following services:

• 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 thoracic surgical team

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

• Support service facilities:
• Dedicated nurses for ERAS services
• 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	286	2335	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	96	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	216	1436	19631
ASA grade 1 (%)	6	6	9
ASA grade 2 (%)	48	49	53
ASA grade 3 (%)	39	37	31
ASA grade 4+ (%)	6	7	2
ASA grade not recorded (%)	2	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	90	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	286	2335	35779
Seen by Clinical Nurse Specialist (%)	53	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	216	1436	19614
Distant metastases (%)	13	8	5
Urgent or emergency surgery (%)	26	18	15
At least 12 lymph nodes excised (%)	90	89	84
Laparoscopic surgery attempted (%)	45	65	72
Risk-adjusted length of stay > 5 days (%)	46	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	64	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	43	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	49	N/A	4251
Neoadjuvant therapy (%)	46	N/A	33
Circumferential resection margin: Recorded (%)	94	91	89
Circumferential resection margin: Negative (%)	86	86	83
Rectal volume	42	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	174	1145	19644
APER/Hartmanns (%)	44	45	37