This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

All Patients:	Trust	Network	National
Number of patients in Audit	252	1270	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	81	88	86
– Performance status (%)	96	89	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	133	622	19631
ASA grade 1 (%)	8	14	9
ASA grade 2 (%)	56	50	53
ASA grade 3 (%)	29	27	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	5	8	4
Data completeness of:
7 Audit items for risk-adjustment (%)	95	91	87

All Patients:	Trust	Network	National
Number of patients in Audit	252	1270	35779
Seen by Clinical Nurse Specialist (%)	95	84	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	133	622	19614
Distant metastases (%)	6	4	5
Urgent or emergency surgery (%)	11	12	15
At least 12 lymph nodes excised (%)	99	95	84
Laparoscopic surgery attempted (%)	75	73	72
Risk-adjusted length of stay > 5 days (%)	53	54	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	86	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	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	22	N/A	4251
Neoadjuvant therapy (%)	42	N/A	33
Circumferential resection margin: Recorded (%)	100	99	89
Circumferential resection margin: Negative (%)	86	92	83
Rectal volume	29	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	122	647	19644
APER/Hartmanns (%)	38	43	37