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	225	2260	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	89	78	86
– Performance status (%)	63	80	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	142	1313	19631
ASA grade 1 (%)	17	9	9
ASA grade 2 (%)	40	48	53
ASA grade 3 (%)	28	34	31
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	14	6	4
Data completeness of:
7 Audit items for risk-adjustment (%)	15	82	87

All Patients:	Trust	Network	National
Number of patients in Audit	225	2260	35779
Seen by Clinical Nurse Specialist (%)	76	76	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	142	1313	19614
Distant metastases (%)	8	5	5
Urgent or emergency surgery (%)	11	13	15
At least 12 lymph nodes excised (%)	14	82	84
Laparoscopic surgery attempted (%)	87	79	72
Risk-adjusted length of stay > 5 days (%)	N/A	39	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	38	N/A	10747
Adjuvant chemotherapy (%)	84	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	24	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	32	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	N/A	4251
Neoadjuvant therapy (%)	21	N/A	33
Circumferential resection margin: Recorded (%)	19	87	89
Circumferential resection margin: Negative (%)	16	83	83
Rectal volume	30	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	102	1373	19644
APER/Hartmanns (%)	46	39	37