This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	226	1862	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	87	86
– Performance status (%)	98	89	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	145	994	19631
ASA grade 1 (%)	5	16	9
ASA grade 2 (%)	23	44	53
ASA grade 3 (%)	70	36	31
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	N/A	2	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	226	1862	35779
Seen by Clinical Nurse Specialist (%)	94	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	145	994	19614
Distant metastases (%)	2	4	5
Urgent or emergency surgery (%)	14	12	15
At least 12 lymph nodes excised (%)	73	89	84
Laparoscopic surgery attempted (%)	50	63	72
Risk-adjusted length of stay > 5 days (%)	63	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	64	N/A	10747
Adjuvant chemotherapy (%)	55	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	33	N/A	4251
Neoadjuvant therapy (%)	26	N/A	33
Circumferential resection margin: Recorded (%)	100	96	89
Circumferential resection margin: Negative (%)	97	89	83
Rectal volume	28	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	89	809	19644
APER/Hartmanns (%)	37	43	37