This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	133	1302	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	97	92	86
– Performance status (%)	99	87	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	75	635	15891
ASA grade 1 (%)	5	11	8
ASA grade 2 (%)	36	55	52
ASA grade 3 (%)	52	29	31
ASA grade 4+ (%)	4	3	2
ASA grade not recorded (%)	3	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	87	94	87

All Patients:	Trust	Network	National
Number of patients in Audit	133	1301	28523
Seen by Clinical Nurse Specialist (%)	91	90	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	46	320	7393
Undergoing major resection (%)	91	73	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	75	635	15855
Distant metastases (%)	3	6	7
Urgent or emergency surgery (%)	57	27	20
At least 12 lymph nodes excised (%)	58	87	86
Laparoscopic surgery attempted (%)	45	55	67
Risk-adjusted length of stay > 5 days (%)	71	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	67	546	10794
Adjuvant chemotherapy (%)	55	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	114	3481
Neoadjuvant therapy (%)	25	53	38
Circumferential resection margin: Recorded (%)	79	93	89
Circumferential resection margin: Negative (%)	79	82	82
Rectal volume	13	121	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	103	855	19595
APER/Hartmanns (%)	44	44	36