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:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	302	1912	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	81	94	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	1132	15891
ASA grade 1 (%)	11	6	8
ASA grade 2 (%)	46	43	52
ASA grade 3 (%)	41	38	31
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	N/A	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	302	1912	28523
Seen by Clinical Nurse Specialist (%)	89	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	57	411	7393
Undergoing major resection (%)	89	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	1132	15855
Distant metastases (%)	13	10	7
Urgent or emergency surgery (%)	25	26	20
At least 12 lymph nodes excised (%)	91	88	86
Laparoscopic surgery attempted (%)	56	57	67
Risk-adjusted length of stay > 5 days (%)	68	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	109	701	10794
Adjuvant chemotherapy (%)	47	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	268	3481
Neoadjuvant therapy (%)	N/A	N/A	38
Circumferential resection margin: Recorded (%)	96	89	89
Circumferential resection margin: Negative (%)	89	84	82
Rectal volume	33	221	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	106	1164	19595
APER/Hartmanns (%)	30	45	36