This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	330	2335	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	96	86
– Performance status (%)	100	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	191	1436	19631
ASA grade 1 (%)	6	6	9
ASA grade 2 (%)	58	49	53
ASA grade 3 (%)	31	37	31
ASA grade 4+ (%)	4	7	2
ASA grade not recorded (%)	1	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	97	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	330	2335	35779
Seen by Clinical Nurse Specialist (%)	94	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	191	1436	19614
Distant metastases (%)	7	8	5
Urgent or emergency surgery (%)	18	18	15
At least 12 lymph nodes excised (%)	81	89	84
Laparoscopic surgery attempted (%)	63	65	72
Risk-adjusted length of stay > 5 days (%)	67	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	72	N/A	10747
Adjuvant chemotherapy (%)	49	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	33	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	26	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	44	N/A	4251
Neoadjuvant therapy (%)	27	N/A	33
Circumferential resection margin: Recorded (%)	93	91	89
Circumferential resection margin: Negative (%)	91	86	83
Rectal volume	45	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	152	1145	19644
APER/Hartmanns (%)	43	45	37