This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Support service facilities:
• 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	216	3482	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	72	83	86
– Performance status (%)	80	90	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	2135	19631
ASA grade 1 (%)	6	5	9
ASA grade 2 (%)	66	53	53
ASA grade 3 (%)	23	34	31
ASA grade 4+ (%)	2	4	2
ASA grade not recorded (%)	3	4	4
Data completeness of:
7 Audit items for risk-adjustment (%)	93	87	87

All Patients:	Trust	Network	National
Number of patients in Audit	216	3482	35779
Seen by Clinical Nurse Specialist (%)	88	89	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	2135	19614
Distant metastases (%)	8	4	5
Urgent or emergency surgery (%)	17	24	15
At least 12 lymph nodes excised (%)	78	82	84
Laparoscopic surgery attempted (%)	88	72	72
Risk-adjusted length of stay > 5 days (%)	48	49	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	71	N/A	10747
Adjuvant chemotherapy (%)	69	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	48	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	29	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	N/A	4251
Neoadjuvant therapy (%)	30	N/A	33
Circumferential resection margin: Recorded (%)	88	88	89
Circumferential resection margin: Negative (%)	88	81	83
Rectal volume	27	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	110	2273	19644
APER/Hartmanns (%)	29	38	37