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	197	2335	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	93	96	86
– Performance status (%)	99	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	1436	19631
ASA grade 1 (%)	1	6	9
ASA grade 2 (%)	46	49	53
ASA grade 3 (%)	47	37	31
ASA grade 4+ (%)	6	7	2
ASA grade not recorded (%)	N/A	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	197	2335	35779
Seen by Clinical Nurse Specialist (%)	92	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	1436	19614
Distant metastases (%)	9	8	5
Urgent or emergency surgery (%)	21	18	15
At least 12 lymph nodes excised (%)	93	89	84
Laparoscopic surgery attempted (%)	59	65	72
Risk-adjusted length of stay > 5 days (%)	75	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	71	N/A	10747
Adjuvant chemotherapy (%)	65	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	45	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	28	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	33	N/A	4251
Neoadjuvant therapy (%)	36	N/A	33
Circumferential resection margin: Recorded (%)	94	91	89
Circumferential resection margin: Negative (%)	94	86	83
Rectal volume	36	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	97	1145	19644
APER/Hartmanns (%)	46	45	37