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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	430	1833	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	90	91	86
– Performance status (%)	59	75	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	218	1075	19631
ASA grade 1 (%)	3	4	9
ASA grade 2 (%)	36	56	53
ASA grade 3 (%)	22	28	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	38	11	4
Data completeness of:
7 Audit items for risk-adjustment (%)	15	78	87

All Patients:	Trust	Network	National
Number of patients in Audit	430	1833	35779
Seen by Clinical Nurse Specialist (%)	99	76	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	218	1075	19614
Distant metastases (%)	3	5	5
Urgent or emergency surgery (%)	10	10	15
At least 12 lymph nodes excised (%)	19	75	84
Laparoscopic surgery attempted (%)	56	75	72
Risk-adjusted length of stay > 5 days (%)	N/A	51	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	63	N/A	10747
Adjuvant chemotherapy (%)	56	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	32	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	29	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	N/A	4251
Neoadjuvant therapy (%)	26	N/A	33
Circumferential resection margin: Recorded (%)	5	79	89
Circumferential resection margin: Negative (%)	5	74	83
Rectal volume	35	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	165	978	19644
APER/Hartmanns (%)	38	26	37