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:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	106	1247	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	96	90	86
– Performance status (%)	95	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	760	15891
ASA grade 1 (%)	3	5	8
ASA grade 2 (%)	41	51	52
ASA grade 3 (%)	53	32	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	3	10	7
Data completeness of:
7 Audit items for risk-adjustment (%)	94	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	106	1247	28523
Seen by Clinical Nurse Specialist (%)	86	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	36	345	7393
Undergoing major resection (%)	56	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	760	15855
Distant metastases (%)	3	9	7
Urgent or emergency surgery (%)	34	16	20
At least 12 lymph nodes excised (%)	93	89	86
Laparoscopic surgery attempted (%)	84	70	67
Risk-adjusted length of stay > 5 days (%)	N/A	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	17	426	10794
Adjuvant chemotherapy (%)	65	59	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	176	3481
Neoadjuvant therapy (%)	N/A	23	38
Circumferential resection margin: Recorded (%)	N/A	93	89
Circumferential resection margin: Negative (%)	N/A	87	82
Rectal volume	N/A	161	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	37	904	19595
APER/Hartmanns (%)	14	36	36