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:
• 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	256	1582	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	96	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	882	19631
ASA grade 1 (%)	2	11	9
ASA grade 2 (%)	58	56	53
ASA grade 3 (%)	38	29	31
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	N/A	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	87	87

All Patients:	Trust	Network	National
Number of patients in Audit	256	1582	35779
Seen by Clinical Nurse Specialist (%)	84	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	882	19614
Distant metastases (%)	3	3	5
Urgent or emergency surgery (%)	15	16	15
At least 12 lymph nodes excised (%)	86	83	84
Laparoscopic surgery attempted (%)	53	69	72
Risk-adjusted length of stay > 5 days (%)	61	64	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	78	N/A	10747
Adjuvant chemotherapy (%)	60	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	29	N/A	4251
Neoadjuvant therapy (%)	28	N/A	33
Circumferential resection margin: Recorded (%)	86	86	89
Circumferential resection margin: Negative (%)	83	75	83
Rectal volume	26	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	117	838	19644
APER/Hartmanns (%)	36	37	37