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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	98	3047	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	86	86
– Performance status (%)	100	82	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	60	1719	15891
ASA grade 1 (%)	2	7	8
ASA grade 2 (%)	48	49	52
ASA grade 3 (%)	48	36	31
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	N/A	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	85	87

All Patients:	Trust	Network	National
Number of patients in Audit	98	3047	28523
Seen by Clinical Nurse Specialist (%)	89	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	30	762	7393
Undergoing major resection (%)	93	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	60	1719	15855
Distant metastases (%)	5	6	7
Urgent or emergency surgery (%)	23	23	20
At least 12 lymph nodes excised (%)	89	84	86
Laparoscopic surgery attempted (%)	72	63	67
Risk-adjusted length of stay > 5 days (%)	61	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	62	1146	10794
Adjuvant chemotherapy (%)	84	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	415	3481
Neoadjuvant therapy (%)	33	35	38
Circumferential resection margin: Recorded (%)	100	83	89
Circumferential resection margin: Negative (%)	93	77	82
Rectal volume	12	406	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	76	2225	19595
APER/Hartmanns (%)	33	35	36