This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

All Patients:	Trust	Network	National
Number of patients in Audit	117	1582	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	72	882	19631
ASA grade 1 (%)	6	11	9
ASA grade 2 (%)	60	56	53
ASA grade 3 (%)	32	29	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	3	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	86	87	87

All Patients:	Trust	Network	National
Number of patients in Audit	117	1582	35779
Seen by Clinical Nurse Specialist (%)	91	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	882	19614
Distant metastases (%)	2	3	5
Urgent or emergency surgery (%)	8	16	15
At least 12 lymph nodes excised (%)	76	83	84
Laparoscopic surgery attempted (%)	82	69	72
Risk-adjusted length of stay > 5 days (%)	58	64	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	52	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	N/A	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	N/A	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	N/A	4251
Neoadjuvant therapy (%)	36	N/A	33
Circumferential resection margin: Recorded (%)	93	86	89
Circumferential resection margin: Negative (%)	93	75	83
Rectal volume	13	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	68	838	19644
APER/Hartmanns (%)	49	37	37