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
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	99	1247	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	73	90	86
– Performance status (%)	47	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	760	15891
ASA grade 1 (%)	3	5	8
ASA grade 2 (%)	22	51	52
ASA grade 3 (%)	10	32	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	64	10	7
Data completeness of:
7 Audit items for risk-adjustment (%)	36	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	99	1247	28523
Seen by Clinical Nurse Specialist (%)	100	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	21	345	7393
Undergoing major resection (%)	95	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	760	15855
Distant metastases (%)	4	9	7
Urgent or emergency surgery (%)	15	16	20
At least 12 lymph nodes excised (%)	88	89	86
Laparoscopic surgery attempted (%)	40	70	67
Risk-adjusted length of stay > 5 days (%)	45	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	55	426	10794
Adjuvant chemotherapy (%)	49	59	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	176	3481
Neoadjuvant therapy (%)	22	23	38
Circumferential resection margin: Recorded (%)	100	93	89
Circumferential resection margin: Negative (%)	95	87	82
Rectal volume	16	161	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	123	904	19595
APER/Hartmanns (%)	31	36	36