This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	74	1912	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	94	86
– Performance status (%)	99	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	1132	15891
ASA grade 1 (%)	18	6	8
ASA grade 2 (%)	32	43	52
ASA grade 3 (%)	32	38	31
ASA grade 4+ (%)	18	3	2
ASA grade not recorded (%)	N/A	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	74	1912	28523
Seen by Clinical Nurse Specialist (%)	84	93	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	17	411	7393
Undergoing major resection (%)	82	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	1132	15855
Distant metastases (%)	14	10	7
Urgent or emergency surgery (%)	64	26	20
At least 12 lymph nodes excised (%)	82	88	86
Laparoscopic surgery attempted (%)	14	57	67
Risk-adjusted length of stay > 5 days (%)	N/A	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	28	701	10794
Adjuvant chemotherapy (%)	61	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	268	3481
Neoadjuvant therapy (%)	N/A	N/A	38
Circumferential resection margin: Recorded (%)	N/A	89	89
Circumferential resection margin: Negative (%)	N/A	84	82
Rectal volume	N/A	221	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	71	1164	19595
APER/Hartmanns (%)	34	45	36