This trust offers the following services:

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

• Support service facilities:
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	147	1867	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	85	86
– Performance status (%)	99	96	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	1016	19631
ASA grade 1 (%)	5	11	9
ASA grade 2 (%)	52	50	53
ASA grade 3 (%)	36	36	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	8	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	77	93	87

All Patients:	Trust	Network	National
Number of patients in Audit	147	1867	35779
Seen by Clinical Nurse Specialist (%)	92	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	1016	19614
Distant metastases (%)	1	5	5
Urgent or emergency surgery (%)	13	11	15
At least 12 lymph nodes excised (%)	82	89	84
Laparoscopic surgery attempted (%)	89	80	72
Risk-adjusted length of stay > 5 days (%)	42	46	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	41	N/A	10747
Adjuvant chemotherapy (%)	37	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	15	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	13	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	N/A	4251
Neoadjuvant therapy (%)	47	N/A	33
Circumferential resection margin: Recorded (%)	81	94	89
Circumferential resection margin: Negative (%)	75	90	83
Rectal volume	15	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	64	936	19644
APER/Hartmanns (%)	47	34	37