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

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced Outpatient Clinic

• Support service facilities:
• Dedicated nurses for ERAS services
• 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	303	1156	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	92	69	86
– Performance status (%)	100	78	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	182	777	19631
ASA grade 1 (%)	10	14	9
ASA grade 2 (%)	62	52	53
ASA grade 3 (%)	28	24	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	10	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	303	1156	35779
Seen by Clinical Nurse Specialist (%)	90	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	182	777	19614
Distant metastases (%)	3	3	5
Urgent or emergency surgery (%)	16	12	15
At least 12 lymph nodes excised (%)	94	93	84
Laparoscopic surgery attempted (%)	90	73	72
Risk-adjusted length of stay > 5 days (%)	39	53	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	96	N/A	10747
Adjuvant chemotherapy (%)	64	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	62	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	21	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	39	N/A	4251
Neoadjuvant therapy (%)	25	N/A	33
Circumferential resection margin: Recorded (%)	100	100	89
Circumferential resection margin: Negative (%)	97	95	83
Rectal volume	36	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	167	695	19644
APER/Hartmanns (%)	31	34	37