This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT

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

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	107	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	91	86
– Performance status (%)	100	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	768	15891
ASA grade 1 (%)	11	7	8
ASA grade 2 (%)	51	61	52
ASA grade 3 (%)	31	28	31
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	5	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	95	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	107	1310	28523
Seen by Clinical Nurse Specialist (%)	100	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	46	388	7393
Undergoing major resection (%)	83	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	768	15855
Distant metastases (%)	5	8	7
Urgent or emergency surgery (%)	8	19	20
At least 12 lymph nodes excised (%)	96	91	86
Laparoscopic surgery attempted (%)	91	77	67
Risk-adjusted length of stay > 5 days (%)	58	67	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	49	457	10794
Adjuvant chemotherapy (%)	78	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	178	3481
Neoadjuvant therapy (%)	63	61	38
Circumferential resection margin: Recorded (%)	100	98	89
Circumferential resection margin: Negative (%)	94	90	82
Rectal volume	18	164	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	90	925	19595
APER/Hartmanns (%)	30	30	36