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

• Support service facilities:
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	177	1867	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	86	85	86
– Performance status (%)	67	96	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	105	1016	19631
ASA grade 1 (%)	2	11	9
ASA grade 2 (%)	24	50	53
ASA grade 3 (%)	63	36	31
ASA grade 4+ (%)	10	3	2
ASA grade not recorded (%)	1	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	91	93	87

All Patients:	Trust	Network	National
Number of patients in Audit	177	1867	35779
Seen by Clinical Nurse Specialist (%)	92	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	105	1016	19614
Distant metastases (%)	11	5	5
Urgent or emergency surgery (%)	9	11	15
At least 12 lymph nodes excised (%)	85	89	84
Laparoscopic surgery attempted (%)	94	80	72
Risk-adjusted length of stay > 5 days (%)	25	46	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	58	N/A	10747
Adjuvant chemotherapy (%)	48	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	28	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	11	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	N/A	4251
Neoadjuvant therapy (%)	17	N/A	33
Circumferential resection margin: Recorded (%)	89	94	89
Circumferential resection margin: Negative (%)	85	90	83
Rectal volume	19	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	132	936	19644
APER/Hartmanns (%)	58	34	37