This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	52	1912	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	94	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	1132	15891
ASA grade 1 (%)	10	6	8
ASA grade 2 (%)	29	43	52
ASA grade 3 (%)	38	38	31
ASA grade 4+ (%)	14	3	2
ASA grade not recorded (%)	10	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	86	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	52	1912	28523
Seen by Clinical Nurse Specialist (%)	100	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	411	7393
Undergoing major resection (%)	N/A	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	1132	15855
Distant metastases (%)	15	10	7
Urgent or emergency surgery (%)	43	26	20
At least 12 lymph nodes excised (%)	86	88	86
Laparoscopic surgery attempted (%)	33	57	67
Risk-adjusted length of stay > 5 days (%)	N/A	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	11	701	10794
Adjuvant chemotherapy (%)	36	57	60

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

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