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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	163	2057	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	84	86
– Performance status (%)	89	89	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	91	1091	19631
ASA grade 1 (%)	14	10	9
ASA grade 2 (%)	53	59	53
ASA grade 3 (%)	29	26	31
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	3	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	163	2057	35779
Seen by Clinical Nurse Specialist (%)	92	89	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	91	1091	19614
Distant metastases (%)	9	3	5
Urgent or emergency surgery (%)	4	15	15
At least 12 lymph nodes excised (%)	88	84	84
Laparoscopic surgery attempted (%)	80	84	72
Risk-adjusted length of stay > 5 days (%)	51	49	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	70	N/A	10747
Adjuvant chemotherapy (%)	59	N/A	62

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

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	N/A	4251
Neoadjuvant therapy (%)	18	N/A	33
Circumferential resection margin: Recorded (%)	91	86	89
Circumferential resection margin: Negative (%)	91	80	83
Rectal volume	26	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	76	1092	19644
APER/Hartmanns (%)	25	29	37