This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	172	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	91	80	86
– Performance status (%)	99	81	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	105	813	15891
ASA grade 1 (%)	22	23	8
ASA grade 2 (%)	52	41	52
ASA grade 3 (%)	11	18	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	14	16	7
Data completeness of:
7 Audit items for risk-adjustment (%)	83	79	87

All Patients:	Trust	Network	National
Number of patients in Audit	172	1301	28523
Seen by Clinical Nurse Specialist (%)	100	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	55	332	7393
Undergoing major resection (%)	85	87	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	105	813	15855
Distant metastases (%)	5	9	7
Urgent or emergency surgery (%)	8	11	20
At least 12 lymph nodes excised (%)	88	85	86
Laparoscopic surgery attempted (%)	64	66	67
Risk-adjusted length of stay > 5 days (%)	68	74	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	77	503	10794
Adjuvant chemotherapy (%)	65	58	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	170	3481
Neoadjuvant therapy (%)	29	37	38
Circumferential resection margin: Recorded (%)	96	89	89
Circumferential resection margin: Negative (%)	96	85	82
Rectal volume	20	194	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	80	891	19595
APER/Hartmanns (%)	25	31	36