This trust offers the following services:

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

All Patients:	Trust	Network	National
Number of patients in Audit	278	1867	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	85	86
– Performance status (%)	100	96	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	1016	19631
ASA grade 1 (%)	28	11	9
ASA grade 2 (%)	53	50	53
ASA grade 3 (%)	18	36	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	1	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	93	87

All Patients:	Trust	Network	National
Number of patients in Audit	278	1867	35779
Seen by Clinical Nurse Specialist (%)	97	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	1016	19614
Distant metastases (%)	4	5	5
Urgent or emergency surgery (%)	12	11	15
At least 12 lymph nodes excised (%)	92	89	84
Laparoscopic surgery attempted (%)	90	80	72
Risk-adjusted length of stay > 5 days (%)	36	46	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	72	N/A	10747
Adjuvant chemotherapy (%)	57	N/A	62

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

Patients having major resection:	Trust	Network	National
Number of patients in Audit	55	N/A	4251
Neoadjuvant therapy (%)	25	N/A	33
Circumferential resection margin: Recorded (%)	98	94	89
Circumferential resection margin: Negative (%)	95	90	83
Rectal volume	55	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	184	936	19644
APER/Hartmanns (%)	27	34	37