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

• Surgical services:
• Robotic surgery

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	294	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	93	91	86
– Performance status (%)	97	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	189	768	15891
ASA grade 1 (%)	4	7	8
ASA grade 2 (%)	67	61	52
ASA grade 3 (%)	28	28	31
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	N/A	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	95	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	294	1310	28523
Seen by Clinical Nurse Specialist (%)	97	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	84	388	7393
Undergoing major resection (%)	80	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	189	768	15855
Distant metastases (%)	10	8	7
Urgent or emergency surgery (%)	17	19	20
At least 12 lymph nodes excised (%)	90	91	86
Laparoscopic surgery attempted (%)	75	77	67
Risk-adjusted length of stay > 5 days (%)	73	67	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	124	457	10794
Adjuvant chemotherapy (%)	75	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	178	3481
Neoadjuvant therapy (%)	38	61	38
Circumferential resection margin: Recorded (%)	95	98	89
Circumferential resection margin: Negative (%)	93	90	82
Rectal volume	33	164	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	197	925	19595
APER/Hartmanns (%)	24	30	36