This trust offers the following services:

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

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic

• 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	449	1862	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	85	87	86
– Performance status (%)	96	89	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	226	994	19631
ASA grade 1 (%)	6	16	9
ASA grade 2 (%)	62	44	53
ASA grade 3 (%)	30	36	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	N/A	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	449	1862	35779
Seen by Clinical Nurse Specialist (%)	100	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	226	994	19614
Distant metastases (%)	3	4	5
Urgent or emergency surgery (%)	16	12	15
At least 12 lymph nodes excised (%)	94	89	84
Laparoscopic surgery attempted (%)	76	63	72
Risk-adjusted length of stay > 5 days (%)	46	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	91	N/A	10747
Adjuvant chemotherapy (%)	59	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	52	N/A	4251
Neoadjuvant therapy (%)	28	N/A	33
Circumferential resection margin: Recorded (%)	100	96	89
Circumferential resection margin: Negative (%)	98	89	83
Rectal volume	53	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	83	809	19644
APER/Hartmanns (%)	29	43	37