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	252	1247	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	94	90	86
– Performance status (%)	90	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	158	760	15891
ASA grade 1 (%)	4	5	8
ASA grade 2 (%)	37	51	52
ASA grade 3 (%)	46	32	31
ASA grade 4+ (%)	6	2	2
ASA grade not recorded (%)	6	10	7
Data completeness of:
7 Audit items for risk-adjustment (%)	74	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	252	1247	28523
Seen by Clinical Nurse Specialist (%)	90	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	70	345	7393
Undergoing major resection (%)	89	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	158	760	15855
Distant metastases (%)	13	9	7
Urgent or emergency surgery (%)	11	16	20
At least 12 lymph nodes excised (%)	77	89	86
Laparoscopic surgery attempted (%)	85	70	67
Risk-adjusted length of stay > 5 days (%)	40	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	104	426	10794
Adjuvant chemotherapy (%)	58	59	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	176	3481
Neoadjuvant therapy (%)	24	23	38
Circumferential resection margin: Recorded (%)	68	93	89
Circumferential resection margin: Negative (%)	65	87	82
Rectal volume	30	161	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	210	904	19595
APER/Hartmanns (%)	54	36	36