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

• Surgical services:
• On-site thoracic surgical team
• Robotic surgery

• Support service facilities:
• Dedicated nurses for ERAS services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	262	2260	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	66	78	86
– Performance status (%)	69	80	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	1313	19631
ASA grade 1 (%)	18	9	9
ASA grade 2 (%)	48	48	53
ASA grade 3 (%)	23	34	31
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	10	6	4
Data completeness of:
7 Audit items for risk-adjustment (%)	64	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	262	2260	35779
Seen by Clinical Nurse Specialist (%)	95	76	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	1313	19614
Distant metastases (%)	6	5	5
Urgent or emergency surgery (%)	12	13	15
At least 12 lymph nodes excised (%)	82	82	84
Laparoscopic surgery attempted (%)	83	79	72
Risk-adjusted length of stay > 5 days (%)	25	39	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	86	N/A	10747
Adjuvant chemotherapy (%)	60	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	60	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	29	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	38	N/A	4251
Neoadjuvant therapy (%)	19	N/A	33
Circumferential resection margin: Recorded (%)	95	87	89
Circumferential resection margin: Negative (%)	92	83	83
Rectal volume	45	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	196	1373	19644
APER/Hartmanns (%)	37	39	37