This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	409	905	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	66	77	86
– Performance status (%)	97	96	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	258	441	15891
ASA grade 1 (%)	6	5	8
ASA grade 2 (%)	52	51	52
ASA grade 3 (%)	36	38	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	4	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	84	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	409	905	28523
Seen by Clinical Nurse Specialist (%)	72	78	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	81	200	7393
Undergoing major resection (%)	91	81	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	258	441	15855
Distant metastases (%)	10	8	7
Urgent or emergency surgery (%)	19	18	20
At least 12 lymph nodes excised (%)	85	77	86
Laparoscopic surgery attempted (%)	62	57	67
Risk-adjusted length of stay > 5 days (%)	56	53	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	219	316	10794
Adjuvant chemotherapy (%)	51	54	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	65	3481
Neoadjuvant therapy (%)	40	28	38
Circumferential resection margin: Recorded (%)	97	85	89
Circumferential resection margin: Negative (%)	86	75	82
Rectal volume	38	68	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	225	548	19595
APER/Hartmanns (%)	58	45	36