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 Nurse
• Dedicated Specialist Advanced Outpatient Clinic

• 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	213	890	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	68	86
– Performance status (%)	100	69	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	508	15891
ASA grade 1 (%)	9	14	8
ASA grade 2 (%)	69	46	52
ASA grade 3 (%)	20	22	31
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	N/A	17	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	213	890	28523
Seen by Clinical Nurse Specialist (%)	99	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	56	191	7393
Undergoing major resection (%)	68	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	508	15855
Distant metastases (%)	7	5	7
Urgent or emergency surgery (%)	33	24	20
At least 12 lymph nodes excised (%)	89	93	86
Laparoscopic surgery attempted (%)	81	67	67
Risk-adjusted length of stay > 5 days (%)	45	55	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	96	359	10794
Adjuvant chemotherapy (%)	64	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	124	3481
Neoadjuvant therapy (%)	21	28	38
Circumferential resection margin: Recorded (%)	100	97	89
Circumferential resection margin: Negative (%)	96	90	82
Rectal volume	25	122	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	157	669	19595
APER/Hartmanns (%)	31	33	36