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	431	2260	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	86	78	86
– Performance status (%)	100	80	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	239	1313	19631
ASA grade 1 (%)	4	9	9
ASA grade 2 (%)	60	48	53
ASA grade 3 (%)	31	34	31
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	6	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	431	2260	35779
Seen by Clinical Nurse Specialist (%)	88	76	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	239	1313	19614
Distant metastases (%)	3	5	5
Urgent or emergency surgery (%)	20	13	15
At least 12 lymph nodes excised (%)	92	82	84
Laparoscopic surgery attempted (%)	87	79	72
Risk-adjusted length of stay > 5 days (%)	47	39	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	116	N/A	10747
Adjuvant chemotherapy (%)	57	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	60	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	22	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	N/A	4251
Neoadjuvant therapy (%)	21	N/A	33
Circumferential resection margin: Recorded (%)	95	87	89
Circumferential resection margin: Negative (%)	93	83	83
Rectal volume	55	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	227	1373	19644
APER/Hartmanns (%)	36	39	37