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

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

All Patients:	Trust	Network	National
Number of patients in Audit	113	1912	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	94	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	1132	15891
ASA grade 1 (%)	8	6	8
ASA grade 2 (%)	47	43	52
ASA grade 3 (%)	39	38	31
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	113	1912	28523
Seen by Clinical Nurse Specialist (%)	87	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	32	411	7393
Undergoing major resection (%)	72	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	1132	15855
Distant metastases (%)	7	10	7
Urgent or emergency surgery (%)	22	26	20
At least 12 lymph nodes excised (%)	95	88	86
Laparoscopic surgery attempted (%)	73	57	67
Risk-adjusted length of stay > 5 days (%)	51	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	701	10794
Adjuvant chemotherapy (%)	52	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	268	3481
Neoadjuvant therapy (%)	N/A	N/A	38
Circumferential resection margin: Recorded (%)	100	89	89
Circumferential resection margin: Negative (%)	100	84	82
Rectal volume	17	221	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	108	1164	19595
APER/Hartmanns (%)	51	45	36