This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT

• Diagnostic and pre-operative services:
• Routine Genetic Testing for Lynch Syndrome

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

All Patients:	Trust	Network	National
Number of patients in Audit	127	1703	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	91	86	86
– Performance status (%)	87	76	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	821	19631
ASA grade 1 (%)	N/A	5	9
ASA grade 2 (%)	3	59	53
ASA grade 3 (%)	N/A	22	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	97	13	4
Data completeness of:
7 Audit items for risk-adjustment (%)	3	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	127	1703	35779
Seen by Clinical Nurse Specialist (%)	93	76	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	821	19614
Distant metastases (%)	5	5	5
Urgent or emergency surgery (%)	4	20	15
At least 12 lymph nodes excised (%)	95	90	84
Laparoscopic surgery attempted (%)	63	81	72
Risk-adjusted length of stay > 5 days (%)	N/A	63	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	58	N/A	10747
Adjuvant chemotherapy (%)	72	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	42	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	16	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	N/A	4251
Neoadjuvant therapy (%)	33	N/A	33
Circumferential resection margin: Recorded (%)	100	96	89
Circumferential resection margin: Negative (%)	94	90	83
Rectal volume	18	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	85	909	19644
APER/Hartmanns (%)	35	31	37