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	96	1200	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	96	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	54	636	15891
ASA grade 1 (%)	7	12	8
ASA grade 2 (%)	72	57	52
ASA grade 3 (%)	19	28	31
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	N/A	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	96	1200	28523
Seen by Clinical Nurse Specialist (%)	97	91	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	31	320	7393
Undergoing major resection (%)	81	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	54	636	15855
Distant metastases (%)	4	5	7
Urgent or emergency surgery (%)	11	25	20
At least 12 lymph nodes excised (%)	93	92	86
Laparoscopic surgery attempted (%)	83	66	67
Risk-adjusted length of stay > 5 days (%)	52	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	47	519	10794
Adjuvant chemotherapy (%)	68	55	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	124	3481
Neoadjuvant therapy (%)	46	44	38
Circumferential resection margin: Recorded (%)	N/A	94	89
Circumferential resection margin: Negative (%)	N/A	84	82
Rectal volume	11	124	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	63	862	19595
APER/Hartmanns (%)	49	36	36