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:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	107	1439	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	92	86
– Performance status (%)	100	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	692	15891
ASA grade 1 (%)	22	5	8
ASA grade 2 (%)	46	53	52
ASA grade 3 (%)	30	28	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	N/A	11	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	107	1439	28523
Seen by Clinical Nurse Specialist (%)	94	64	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	34	418	7393
Undergoing major resection (%)	76	78	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	692	15855
Distant metastases (%)	N/A	6	7
Urgent or emergency surgery (%)	22	11	20
At least 12 lymph nodes excised (%)	93	80	86
Laparoscopic surgery attempted (%)	81	73	67
Risk-adjusted length of stay > 5 days (%)	45	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	525	10794
Adjuvant chemotherapy (%)	76	65	60

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

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	54	1012	19595
APER/Hartmanns (%)	28	26	36