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

• Support service facilities:
• 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	169	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	84	91	86
– Performance status (%)	75	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	67	768	15891
ASA grade 1 (%)	10	7	8
ASA grade 2 (%)	66	61	52
ASA grade 3 (%)	19	28	31
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	3	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	97	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	169	1310	28523
Seen by Clinical Nurse Specialist (%)	92	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	55	388	7393
Undergoing major resection (%)	93	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	67	768	15855
Distant metastases (%)	12	8	7
Urgent or emergency surgery (%)	7	19	20
At least 12 lymph nodes excised (%)	94	91	86
Laparoscopic surgery attempted (%)	93	77	67
Risk-adjusted length of stay > 5 days (%)	58	67	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	38	457	10794
Adjuvant chemotherapy (%)	71	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	178	3481
Neoadjuvant therapy (%)	73	61	38
Circumferential resection margin: Recorded (%)	100	98	89
Circumferential resection margin: Negative (%)	77	90	82
Rectal volume	12	164	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	95	925	19595
APER/Hartmanns (%)	27	30	36