This trust offers the following services:

• 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:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	314	1100	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	77	89	86
– Performance status (%)	97	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	154	553	19631
ASA grade 1 (%)	10	13	9
ASA grade 2 (%)	71	57	53
ASA grade 3 (%)	14	20	31
ASA grade 4+ (%)	6	3	2
ASA grade not recorded (%)	N/A	7	4
Data completeness of:
7 Audit items for risk-adjustment (%)	98	75	87

All Patients:	Trust	Network	National
Number of patients in Audit	314	1100	35779
Seen by Clinical Nurse Specialist (%)	96	95	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	154	553	19614
Distant metastases (%)	9	7	5
Urgent or emergency surgery (%)	8	11	15
At least 12 lymph nodes excised (%)	92	78	84
Laparoscopic surgery attempted (%)	56	62	72
Risk-adjusted length of stay > 5 days (%)	64	68	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	104	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	57	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	14	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	39	N/A	4251
Neoadjuvant therapy (%)	36	N/A	33
Circumferential resection margin: Recorded (%)	92	79	89
Circumferential resection margin: Negative (%)	82	70	83
Rectal volume	43	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	162	524	19644
APER/Hartmanns (%)	24	37	37