This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	461	2335	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	91	96	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	291	1436	19631
ASA grade 1 (%)	9	6	9
ASA grade 2 (%)	45	49	53
ASA grade 3 (%)	39	37	31
ASA grade 4+ (%)	4	7	2
ASA grade not recorded (%)	4	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	91	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	461	2335	35779
Seen by Clinical Nurse Specialist (%)	91	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	291	1436	19614
Distant metastases (%)	8	8	5
Urgent or emergency surgery (%)	19	18	15
At least 12 lymph nodes excised (%)	87	89	84
Laparoscopic surgery attempted (%)	57	65	72
Risk-adjusted length of stay > 5 days (%)	62	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	135	N/A	10747
Adjuvant chemotherapy (%)	42	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	62	N/A	4251
Neoadjuvant therapy (%)	34	N/A	33
Circumferential resection margin: Recorded (%)	89	91	89
Circumferential resection margin: Negative (%)	85	86	83
Rectal volume	75	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	171	1145	19644
APER/Hartmanns (%)	42	45	37