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

• Advanced disease services:
• Distal sacrectomy

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

All Patients:	Trust	Network	National
Number of patients in Audit	153	1912	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	94	86
– Performance status (%)	99	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	1132	15891
ASA grade 1 (%)	1	6	8
ASA grade 2 (%)	46	43	52
ASA grade 3 (%)	48	38	31
ASA grade 4+ (%)	6	3	2
ASA grade not recorded (%)	N/A	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	153	1912	28523
Seen by Clinical Nurse Specialist (%)	94	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	35	411	7393
Undergoing major resection (%)	94	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	1132	15855
Distant metastases (%)	14	10	7
Urgent or emergency surgery (%)	37	26	20
At least 12 lymph nodes excised (%)	90	88	86
Laparoscopic surgery attempted (%)	52	57	67
Risk-adjusted length of stay > 5 days (%)	82	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	65	701	10794
Adjuvant chemotherapy (%)	65	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	268	3481
Neoadjuvant therapy (%)	N/A	N/A	38
Circumferential resection margin: Recorded (%)	100	89	89
Circumferential resection margin: Negative (%)	96	84	82
Rectal volume	24	221	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	84	1164	19595
APER/Hartmanns (%)	44	45	36