This trust offers the following services:

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

All Patients:	Trust	Network	National
Number of patients in Audit	76	528	35779
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	89	82	86
– Performance status (%)	87	62	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	345	19631
ASA grade 1 (%)	N/A	18	9
ASA grade 2 (%)	N/A	51	53
ASA grade 3 (%)	N/A	30	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	86	87

All Patients:	Trust	Network	National
Number of patients in Audit	76	528	35779
Seen by Clinical Nurse Specialist (%)	99	85	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	345	19614
Distant metastases (%)	N/A	9	5
Urgent or emergency surgery (%)	N/A	17	15
At least 12 lymph nodes excised (%)	N/A	83	84
Laparoscopic surgery attempted (%)	N/A	73	72
Risk-adjusted length of stay > 5 days (%)	N/A	66	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	15	N/A	10747
Adjuvant chemotherapy (%)	60	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	91	89
Circumferential resection margin: Negative (%)	N/A	86	83
Rectal volume	N/A	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	37	241	19644
APER/Hartmanns (%)	22	24	37