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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	225	1582	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	95	96	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	112	882	19631
ASA grade 1 (%)	11	11	9
ASA grade 2 (%)	63	56	53
ASA grade 3 (%)	27	29	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	77	87	87

All Patients:	Trust	Network	National
Number of patients in Audit	225	1582	35779
Seen by Clinical Nurse Specialist (%)	99	94	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	112	882	19614
Distant metastases (%)	5	3	5
Urgent or emergency surgery (%)	21	16	15
At least 12 lymph nodes excised (%)	69	83	84
Laparoscopic surgery attempted (%)	75	69	72
Risk-adjusted length of stay > 5 days (%)	75	64	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	72	N/A	10747
Adjuvant chemotherapy (%)	36	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	20	N/A	4251
Neoadjuvant therapy (%)	30	N/A	33
Circumferential resection margin: Recorded (%)	80	86	89
Circumferential resection margin: Negative (%)	75	75	83
Rectal volume	11	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	84	838	19644
APER/Hartmanns (%)	30	37	37