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:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	271	1240	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	75	77	86
– Performance status (%)	13	70	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	500	19631
ASA grade 1 (%)	7	4	9
ASA grade 2 (%)	44	61	53
ASA grade 3 (%)	48	32	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	N/A	4
Data completeness of:
7 Audit items for risk-adjustment (%)	78	49	87

All Patients:	Trust	Network	National
Number of patients in Audit	271	1240	35779
Seen by Clinical Nurse Specialist (%)	70	85	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	500	19614
Distant metastases (%)	8	5	5
Urgent or emergency surgery (%)	7	12	15
At least 12 lymph nodes excised (%)	89	44	84
Laparoscopic surgery attempted (%)	4	71	72
Risk-adjusted length of stay > 5 days (%)	117	45	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	N/A	10747
Adjuvant chemotherapy (%)	N/A	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	70	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	21	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	N/A	4251
Neoadjuvant therapy (%)	N/A	N/A	33
Circumferential resection margin: Recorded (%)	N/A	61	89
Circumferential resection margin: Negative (%)	N/A	60	83
Rectal volume	N/A	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	91	517	19644
APER/Hartmanns (%)	44	43	37