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	114	2310	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	86	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	1175	19631
ASA grade 1 (%)	3	7	9
ASA grade 2 (%)	23	55	53
ASA grade 3 (%)	70	36	31
ASA grade 4+ (%)	4	2	2
ASA grade not recorded (%)	N/A	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	88	87

All Patients:	Trust	Network	National
Number of patients in Audit	114	2310	35779
Seen by Clinical Nurse Specialist (%)	98	86	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	74	1175	19614
Distant metastases (%)	8	4	5
Urgent or emergency surgery (%)	17	12	15
At least 12 lymph nodes excised (%)	95	81	84
Laparoscopic surgery attempted (%)	73	68	72
Risk-adjusted length of stay > 5 days (%)	60	58	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	32	N/A	10747
Adjuvant chemotherapy (%)	47	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	14	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	37	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	N/A	4251
Neoadjuvant therapy (%)	6	N/A	33
Circumferential resection margin: Recorded (%)	86	86	89
Circumferential resection margin: Negative (%)	79	80	83
Rectal volume	14	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	93	1244	19644
APER/Hartmanns (%)	42	35	37