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	229	905	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	90	77	86
– Performance status (%)	99	96	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	441	15891
ASA grade 1 (%)	9	5	8
ASA grade 2 (%)	26	51	52
ASA grade 3 (%)	48	38	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	17	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	65	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	229	905	28523
Seen by Clinical Nurse Specialist (%)	91	78	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	62	200	7393
Undergoing major resection (%)	52	81	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	441	15855
Distant metastases (%)	19	8	7
Urgent or emergency surgery (%)	9	18	20
At least 12 lymph nodes excised (%)	87	77	86
Laparoscopic surgery attempted (%)	13	57	67
Risk-adjusted length of stay > 5 days (%)	91	53	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	13	316	10794
Adjuvant chemotherapy (%)	54	54	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	65	3481
Neoadjuvant therapy (%)	N/A	28	38
Circumferential resection margin: Recorded (%)	N/A	85	89
Circumferential resection margin: Negative (%)	N/A	75	82
Rectal volume	N/A	68	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	123	548	19595
APER/Hartmanns (%)	44	45	36