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:
• Robotic surgery

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

All Patients:	Trust	Network	National
Number of patients in Audit	153	905	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	82	77	86
– Performance status (%)	92	96	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	82	441	15891
ASA grade 1 (%)	2	5	8
ASA grade 2 (%)	62	51	52
ASA grade 3 (%)	33	38	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	1	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	80	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	153	905	28523
Seen by Clinical Nurse Specialist (%)	76	78	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	30	200	7393
Undergoing major resection (%)	97	81	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	82	441	15855
Distant metastases (%)	3	8	7
Urgent or emergency surgery (%)	21	18	20
At least 12 lymph nodes excised (%)	33	77	86
Laparoscopic surgery attempted (%)	55	57	67
Risk-adjusted length of stay > 5 days (%)	37	53	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	316	10794
Adjuvant chemotherapy (%)	61	54	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	65	3481
Neoadjuvant therapy (%)	8	28	38
Circumferential resection margin: Recorded (%)	N/A	85	89
Circumferential resection margin: Negative (%)	N/A	75	82
Rectal volume	11	68	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	93	548	19595
APER/Hartmanns (%)	24	45	36