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	85	1808	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	82	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	57	1002	15891
ASA grade 1 (%)	N/A	8	8
ASA grade 2 (%)	30	56	52
ASA grade 3 (%)	60	30	31
ASA grade 4+ (%)	11	2	2
ASA grade not recorded (%)	N/A	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	85	1808	28523
Seen by Clinical Nurse Specialist (%)	100	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	32	525	7393
Undergoing major resection (%)	84	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	57	1002	15855
Distant metastases (%)	13	5	7
Urgent or emergency surgery (%)	23	23	20
At least 12 lymph nodes excised (%)	91	80	86
Laparoscopic surgery attempted (%)	65	65	67
Risk-adjusted length of stay > 5 days (%)	74	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	21	649	10794
Adjuvant chemotherapy (%)	43	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	10	207	3481
Neoadjuvant therapy (%)	20	38	38
Circumferential resection margin: Recorded (%)	40	84	89
Circumferential resection margin: Negative (%)	40	76	82
Rectal volume	17	201	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	92	1279	19595
APER/Hartmanns (%)	49	34	36