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	135	1857	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	82	74	86
– Performance status (%)	90	84	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	1031	15891
ASA grade 1 (%)	3	7	8
ASA grade 2 (%)	47	46	52
ASA grade 3 (%)	45	27	31
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	17	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	135	1857	28523
Seen by Clinical Nurse Specialist (%)	94	86	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	40	383	7393
Undergoing major resection (%)	93	85	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	1031	15855
Distant metastases (%)	8	8	7
Urgent or emergency surgery (%)	18	19	20
At least 12 lymph nodes excised (%)	92	86	86
Laparoscopic surgery attempted (%)	62	58	67
Risk-adjusted length of stay > 5 days (%)	54	61	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	64	766	10794
Adjuvant chemotherapy (%)	69	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	10	211	3481
Neoadjuvant therapy (%)	70	42	38
Circumferential resection margin: Recorded (%)	100	96	89
Circumferential resection margin: Negative (%)	100	91	82
Rectal volume	10	214	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	74	1302	19595
APER/Hartmanns (%)	45	42	36