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 Nurse

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	394	3047	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	86	86
– Performance status (%)	100	82	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	213	1719	15891
ASA grade 1 (%)	14	7	8
ASA grade 2 (%)	47	49	52
ASA grade 3 (%)	37	36	31
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	N/A	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	97	85	87

All Patients:	Trust	Network	National
Number of patients in Audit	394	3047	28523
Seen by Clinical Nurse Specialist (%)	82	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	128	762	7393
Undergoing major resection (%)	81	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	213	1719	15855
Distant metastases (%)	5	6	7
Urgent or emergency surgery (%)	23	23	20
At least 12 lymph nodes excised (%)	93	84	86
Laparoscopic surgery attempted (%)	95	63	67
Risk-adjusted length of stay > 5 days (%)	41	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	137	1146	10794
Adjuvant chemotherapy (%)	81	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	51	415	3481
Neoadjuvant therapy (%)	29	35	38
Circumferential resection margin: Recorded (%)	96	83	89
Circumferential resection margin: Negative (%)	88	77	82
Rectal volume	49	406	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	269	2225	19595
APER/Hartmanns (%)	29	35	36