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:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	118	437	28523
Case ascertainment (%)	Poor	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	75	77	86
– Performance status (%)	98	91	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	70	332	15891
ASA grade 1 (%)	14	14	8
ASA grade 2 (%)	59	54	52
ASA grade 3 (%)	23	28	31
ASA grade 4+ (%)	4	2	2
ASA grade not recorded (%)	N/A	1	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	118	437	28523
Seen by Clinical Nurse Specialist (%)	99	94	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	60	144	7393
Undergoing major resection (%)	88	88	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	70	332	15855
Distant metastases (%)	7	8	7
Urgent or emergency surgery (%)	14	17	20
At least 12 lymph nodes excised (%)	98	90	86
Laparoscopic surgery attempted (%)	81	64	67
Risk-adjusted length of stay > 5 days (%)	49	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	92	262	10794
Adjuvant chemotherapy (%)	68	69	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	71	3481
Neoadjuvant therapy (%)	8	51	38
Circumferential resection margin: Recorded (%)	N/A	99	89
Circumferential resection margin: Negative (%)	N/A	90	82
Rectal volume	N/A	77	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	107	439	19595
APER/Hartmanns (%)	17	34	36