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 MDT
• Extended lymphadenectomy

All Patients:	Trust	Network	National
Number of patients in Audit	171	1200	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	96	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	636	15891
ASA grade 1 (%)	9	12	8
ASA grade 2 (%)	67	57	52
ASA grade 3 (%)	20	28	31
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	1	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	171	1200	28523
Seen by Clinical Nurse Specialist (%)	96	91	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	41	320	7393
Undergoing major resection (%)	80	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	636	15855
Distant metastases (%)	1	5	7
Urgent or emergency surgery (%)	76	25	20
At least 12 lymph nodes excised (%)	94	92	86
Laparoscopic surgery attempted (%)	46	66	67
Risk-adjusted length of stay > 5 days (%)	47	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	69	519	10794
Adjuvant chemotherapy (%)	58	55	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	10	124	3481
Neoadjuvant therapy (%)	N/A	44	38
Circumferential resection margin: Recorded (%)	80	94	89
Circumferential resection margin: Negative (%)	70	84	82
Rectal volume	10	124	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	100	862	19595
APER/Hartmanns (%)	28	36	36