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	84	1439	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	92	86
– Performance status (%)	87	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	58	692	15891
ASA grade 1 (%)	2	5	8
ASA grade 2 (%)	33	53	52
ASA grade 3 (%)	45	28	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	19	11	7
Data completeness of:
7 Audit items for risk-adjustment (%)	69	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	84	1439	28523
Seen by Clinical Nurse Specialist (%)	100	64	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	37	418	7393
Undergoing major resection (%)	92	78	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	58	692	15855
Distant metastases (%)	4	6	7
Urgent or emergency surgery (%)	5	11	20
At least 12 lymph nodes excised (%)	91	80	86
Laparoscopic surgery attempted (%)	90	73	67
Risk-adjusted length of stay > 5 days (%)	38	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	34	525	10794
Adjuvant chemotherapy (%)	62	65	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	12	158	3481
Neoadjuvant therapy (%)	N/A	27	38
Circumferential resection margin: Recorded (%)	75	85	89
Circumferential resection margin: Negative (%)	75	80	82
Rectal volume	N/A	153	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	64	1012	19595
APER/Hartmanns (%)	27	26	36