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:
• Robotic surgery

All Patients:	Trust	Network	National
Number of patients in Audit	186	2258	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	86	79	86
– Performance status (%)	97	92	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	1187	19631
ASA grade 1 (%)	N/A	8	9
ASA grade 2 (%)	48	52	53
ASA grade 3 (%)	51	30	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	8	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	89	87

All Patients:	Trust	Network	National
Number of patients in Audit	186	2258	35779
Seen by Clinical Nurse Specialist (%)	93	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	1187	19614
Distant metastases (%)	5	5	5
Urgent or emergency surgery (%)	18	14	15
At least 12 lymph nodes excised (%)	91	85	84
Laparoscopic surgery attempted (%)	78	71	72
Risk-adjusted length of stay > 5 days (%)	46	56	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	70	N/A	10747
Adjuvant chemotherapy (%)	71	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	65	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	31	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	N/A	4251
Neoadjuvant therapy (%)	62	N/A	33
Circumferential resection margin: Recorded (%)	95	94	89
Circumferential resection margin: Negative (%)	95	88	83
Rectal volume	19	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	65	1284	19644
APER/Hartmanns (%)	45	43	37