This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	172	1833	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	94	91	86
– Performance status (%)	94	75	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	1075	19631
ASA grade 1 (%)	2	4	9
ASA grade 2 (%)	53	56	53
ASA grade 3 (%)	34	28	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	9	11	4
Data completeness of:
7 Audit items for risk-adjustment (%)	88	78	87

All Patients:	Trust	Network	National
Number of patients in Audit	172	1833	35779
Seen by Clinical Nurse Specialist (%)	96	76	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	1075	19614
Distant metastases (%)	2	5	5
Urgent or emergency surgery (%)	13	10	15
At least 12 lymph nodes excised (%)	97	75	84
Laparoscopic surgery attempted (%)	86	75	72
Risk-adjusted length of stay > 5 days (%)	34	51	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	N/A	10747
Adjuvant chemotherapy (%)	67	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	34	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	23	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	N/A	4251
Neoadjuvant therapy (%)	4	N/A	33
Circumferential resection margin: Recorded (%)	97	79	89
Circumferential resection margin: Negative (%)	97	74	83
Rectal volume	32	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	54	978	19644
APER/Hartmanns (%)	35	26	37