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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	248	816	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	79	90	86
– Performance status (%)	96	98	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	444	15891
ASA grade 1 (%)	11	8	8
ASA grade 2 (%)	64	54	52
ASA grade 3 (%)	25	23	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	13	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	248	816	28523
Seen by Clinical Nurse Specialist (%)	98	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	72	223	7393
Undergoing major resection (%)	89	78	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	150	444	15855
Distant metastases (%)	8	6	7
Urgent or emergency surgery (%)	9	14	20
At least 12 lymph nodes excised (%)	95	90	86
Laparoscopic surgery attempted (%)	46	50	67
Risk-adjusted length of stay > 5 days (%)	61	70	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	100	308	10794
Adjuvant chemotherapy (%)	54	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	104	3481
Neoadjuvant therapy (%)	43	43	38
Circumferential resection margin: Recorded (%)	91	84	89
Circumferential resection margin: Negative (%)	91	75	82
Rectal volume	24	113	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	165	505	19595
APER/Hartmanns (%)	27	36	36