This trust offers the following services:

• 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	83	595	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	86	82	86
– Performance status (%)	80	97	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	326	19631
ASA grade 1 (%)	N/A	6	9
ASA grade 2 (%)	18	51	53
ASA grade 3 (%)	9	30	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	73	11	4
Data completeness of:
7 Audit items for risk-adjustment (%)	4	78	87

All Patients:	Trust	Network	National
Number of patients in Audit	83	595	35779
Seen by Clinical Nurse Specialist (%)	99	96	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	326	19614
Distant metastases (%)	N/A	5	5
Urgent or emergency surgery (%)	2	16	15
At least 12 lymph nodes excised (%)	14	79	84
Laparoscopic surgery attempted (%)	82	70	72
Risk-adjusted length of stay > 5 days (%)	N/A	52	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	33	N/A	10747
Adjuvant chemotherapy (%)	70	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	N/A	N/A	4251
Neoadjuvant therapy (%)	N/A	N/A	33
Circumferential resection margin: Recorded (%)	N/A	71	89
Circumferential resection margin: Negative (%)	N/A	69	83
Rectal volume	N/A	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	31	226	19644
APER/Hartmanns (%)	32	31	37