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

All Patients:	Trust	Network	National
Number of patients in Audit	228	890	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	48	68	86
– Performance status (%)	85	69	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	159	508	15891
ASA grade 1 (%)	8	14	8
ASA grade 2 (%)	35	46	52
ASA grade 3 (%)	38	22	31
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	19	17	7
Data completeness of:
7 Audit items for risk-adjustment (%)	79	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	228	890	28523
Seen by Clinical Nurse Specialist (%)	87	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	39	191	7393
Undergoing major resection (%)	90	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	159	508	15855
Distant metastases (%)	5	5	7
Urgent or emergency surgery (%)	18	24	20
At least 12 lymph nodes excised (%)	90	93	86
Laparoscopic surgery attempted (%)	61	67	67
Risk-adjusted length of stay > 5 days (%)	74	55	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	359	10794
Adjuvant chemotherapy (%)	65	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	124	3481
Neoadjuvant therapy (%)	17	28	38
Circumferential resection margin: Recorded (%)	94	97	89
Circumferential resection margin: Negative (%)	89	90	82
Rectal volume	46	122	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	188	669	19595
APER/Hartmanns (%)	38	33	36