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

• Advanced disease services:
• Distal sacrectomy

All Patients:	Trust	Network	National
Number of patients in Audit	103	1001	28523
Case ascertainment (%)	Poor	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	79	89	86
– Performance status (%)	100	100	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	611	15891
ASA grade 1 (%)	10	6	8
ASA grade 2 (%)	82	54	52
ASA grade 3 (%)	8	37	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	103	1001	28523
Seen by Clinical Nurse Specialist (%)	99	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	39	318	7393
Undergoing major resection (%)	87	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	611	15855
Distant metastases (%)	6	7	7
Urgent or emergency surgery (%)	8	15	20
At least 12 lymph nodes excised (%)	97	91	86
Laparoscopic surgery attempted (%)	67	74	67
Risk-adjusted length of stay > 5 days (%)	56	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	60	396	10794
Adjuvant chemotherapy (%)	48	58	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	138	3481
Neoadjuvant therapy (%)	15	35	38
Circumferential resection margin: Recorded (%)	N/A	99	89
Circumferential resection margin: Negative (%)	N/A	94	82
Rectal volume	13	135	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	176	752	19595
APER/Hartmanns (%)	45	39	36