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:
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	137	322	28523
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	64	80	86
– Performance status (%)	12	59	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	206	15891
ASA grade 1 (%)	1	7	8
ASA grade 2 (%)	53	47	52
ASA grade 3 (%)	33	35	31
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	12	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	85	85	87

All Patients:	Trust	Network	National
Number of patients in Audit	137	322	28523
Seen by Clinical Nurse Specialist (%)	64	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	32	79	7393
Undergoing major resection (%)	97	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	206	15855
Distant metastases (%)	7	7	7
Urgent or emergency surgery (%)	7	15	20
At least 12 lymph nodes excised (%)	99	91	86
Laparoscopic surgery attempted (%)	79	79	67
Risk-adjusted length of stay > 5 days (%)	60	65	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	56	179	10794
Adjuvant chemotherapy (%)	63	63	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	45	3481
Neoadjuvant therapy (%)	26	27	38
Circumferential resection margin: Recorded (%)	100	91	89
Circumferential resection margin: Negative (%)	95	87	82
Rectal volume	18	45	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	57	245	19595
APER/Hartmanns (%)	21	26	36