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	331	1965	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	84	75	86
– Performance status (%)	94	79	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	182	1125	15891
ASA grade 1 (%)	5	7	8
ASA grade 2 (%)	46	50	52
ASA grade 3 (%)	44	33	31
ASA grade 4+ (%)	4	3	2
ASA grade not recorded (%)	1	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	331	1965	28523
Seen by Clinical Nurse Specialist (%)	76	69	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	89	461	7393
Undergoing major resection (%)	81	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	182	1125	15855
Distant metastases (%)	3	5	7
Urgent or emergency surgery (%)	29	17	20
At least 12 lymph nodes excised (%)	86	90	86
Laparoscopic surgery attempted (%)	79	81	67
Risk-adjusted length of stay > 5 days (%)	44	47	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	113	658	10794
Adjuvant chemotherapy (%)	50	54	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	41	270	3481
Neoadjuvant therapy (%)	52	33	38
Circumferential resection margin: Recorded (%)	100	92	89
Circumferential resection margin: Negative (%)	100	87	82
Rectal volume	33	261	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	220	1328	19595
APER/Hartmanns (%)	35	37	36