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

All Patients:	Trust	Network	National
Number of patients in Audit	362	2310	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	84	86	86
– Performance status (%)	99	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	149	1175	19631
ASA grade 1 (%)	8	7	9
ASA grade 2 (%)	56	55	53
ASA grade 3 (%)	34	36	31
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	96	88	87

All Patients:	Trust	Network	National
Number of patients in Audit	362	2310	35779
Seen by Clinical Nurse Specialist (%)	86	86	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	149	1175	19614
Distant metastases (%)	2	4	5
Urgent or emergency surgery (%)	15	12	15
At least 12 lymph nodes excised (%)	83	81	84
Laparoscopic surgery attempted (%)	81	68	72
Risk-adjusted length of stay > 5 days (%)	70	58	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	138	N/A	10747
Adjuvant chemotherapy (%)	67	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	94	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	16	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	N/A	4251
Neoadjuvant therapy (%)	37	N/A	33
Circumferential resection margin: Recorded (%)	95	86	89
Circumferential resection margin: Negative (%)	91	80	83
Rectal volume	49	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	228	1244	19644
APER/Hartmanns (%)	36	35	37