This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Surgical services:
• Robotic surgery

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	141	2057	35779
Case ascertainment (%)	Fair	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	33	1091	19631
ASA grade 1 (%)	15	10	9
ASA grade 2 (%)	42	59	53
ASA grade 3 (%)	42	26	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	97	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	141	2057	35779
Seen by Clinical Nurse Specialist (%)	100	89	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	33	1091	19614
Distant metastases (%)	3	3	5
Urgent or emergency surgery (%)	16	15	15
At least 12 lymph nodes excised (%)	95	84	84
Laparoscopic surgery attempted (%)	21	84	72
Risk-adjusted length of stay > 5 days (%)	53	49	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	N/A	10747
Adjuvant chemotherapy (%)	70	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	N/A	N/A	4251
Neoadjuvant therapy (%)	N/A	N/A	33
Circumferential resection margin: Recorded (%)	N/A	86	89
Circumferential resection margin: Negative (%)	N/A	80	83
Rectal volume	17	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	154	1092	19644
APER/Hartmanns (%)	17	29	37