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	207	936	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	89	91	86
– Performance status (%)	99	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	415	15891
ASA grade 1 (%)	15	8	8
ASA grade 2 (%)	58	59	52
ASA grade 3 (%)	23	26	31
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	2	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	93	92	87

All Patients:	Trust	Network	National
Number of patients in Audit	207	936	28523
Seen by Clinical Nurse Specialist (%)	85	76	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	72	244	7393
Undergoing major resection (%)	75	80	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	415	15855
Distant metastases (%)	5	5	7
Urgent or emergency surgery (%)	11	12	20
At least 12 lymph nodes excised (%)	87	91	86
Laparoscopic surgery attempted (%)	74	75	67
Risk-adjusted length of stay > 5 days (%)	50	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	77	371	10794
Adjuvant chemotherapy (%)	61	53	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	80	3481
Neoadjuvant therapy (%)	52	45	38
Circumferential resection margin: Recorded (%)	100	95	89
Circumferential resection margin: Negative (%)	86	85	82
Rectal volume	25	88	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	115	695	19595
APER/Hartmanns (%)	43	45	36