This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Distal sacrectomy

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1146	35779
Case ascertainment (%)	?	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	N/A	90	86
– Performance status (%)	N/A	94	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	638	19631
ASA grade 1 (%)	N/A	7	9
ASA grade 2 (%)	N/A	54	53
ASA grade 3 (%)	N/A	36	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	N/A	N/A	4
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	97	87

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1146	35779
Seen by Clinical Nurse Specialist (%)	N/A	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	638	19614
Distant metastases (%)	N/A	9	5
Urgent or emergency surgery (%)	N/A	13	15
At least 12 lymph nodes excised (%)	N/A	88	84
Laparoscopic surgery attempted (%)	N/A	73	72
Risk-adjusted length of stay > 5 days (%)	N/A	46	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	50	N/A	10747
Adjuvant chemotherapy (%)	48	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	23	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	13	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	91	89
Circumferential resection margin: Negative (%)	N/A	82	83
Rectal volume	N/A	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	154	774	19644
APER/Hartmanns (%)	53	41	37