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
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	275	2057	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	91	84	86
– Performance status (%)	98	89	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	162	1091	19631
ASA grade 1 (%)	7	10	9
ASA grade 2 (%)	75	59	53
ASA grade 3 (%)	17	26	31
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	N/A	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	78	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	275	2057	35779
Seen by Clinical Nurse Specialist (%)	94	89	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	162	1091	19614
Distant metastases (%)	1	3	5
Urgent or emergency surgery (%)	8	15	15
At least 12 lymph nodes excised (%)	63	84	84
Laparoscopic surgery attempted (%)	70	84	72
Risk-adjusted length of stay > 5 days (%)	59	49	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	92	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	52	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	6	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	N/A	4251
Neoadjuvant therapy (%)	13	N/A	33
Circumferential resection margin: Recorded (%)	82	86	89
Circumferential resection margin: Negative (%)	82	80	83
Rectal volume	22	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	182	1092	19644
APER/Hartmanns (%)	47	29	37