This trust offers the following services:

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

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	97	410	28523
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	89	85	86
– Performance status (%)	69	92	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	235	15891
ASA grade 1 (%)	N/A	10	8
ASA grade 2 (%)	N/A	45	52
ASA grade 3 (%)	N/A	27	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	100	14	7
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	62	87

All Patients:	Trust	Network	National
Number of patients in Audit	97	410	28523
Seen by Clinical Nurse Specialist (%)	99	96	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	20	110	7393
Undergoing major resection (%)	75	87	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	235	15855
Distant metastases (%)	N/A	3	7
Urgent or emergency surgery (%)	31	23	20
At least 12 lymph nodes excised (%)	19	59	86
Laparoscopic surgery attempted (%)	62	67	67
Risk-adjusted length of stay > 5 days (%)	N/A	56	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	40	188	10794
Adjuvant chemotherapy (%)	65	61	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	35	3481
Neoadjuvant therapy (%)	N/A	54	38
Circumferential resection margin: Recorded (%)	N/A	66	89
Circumferential resection margin: Negative (%)	N/A	57	82
Rectal volume	N/A	37	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	31	226	19595
APER/Hartmanns (%)	32	32	36