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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	182	1200	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	96	86
– Performance status (%)	99	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	636	15891
ASA grade 1 (%)	13	12	8
ASA grade 2 (%)	62	57	52
ASA grade 3 (%)	23	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 (%)	97	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	182	1200	28523
Seen by Clinical Nurse Specialist (%)	92	91	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	54	320	7393
Undergoing major resection (%)	87	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	636	15855
Distant metastases (%)	1	5	7
Urgent or emergency surgery (%)	32	25	20
At least 12 lymph nodes excised (%)	90	92	86
Laparoscopic surgery attempted (%)	72	66	67
Risk-adjusted length of stay > 5 days (%)	59	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	66	519	10794
Adjuvant chemotherapy (%)	53	55	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	124	3481
Neoadjuvant therapy (%)	47	44	38
Circumferential resection margin: Recorded (%)	100	94	89
Circumferential resection margin: Negative (%)	100	84	82
Rectal volume	17	124	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	86	862	19595
APER/Hartmanns (%)	23	36	36