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	195	1965	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	75	86
– Performance status (%)	72	79	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	1125	15891
ASA grade 1 (%)	1	7	8
ASA grade 2 (%)	70	50	52
ASA grade 3 (%)	25	33	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	4	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	82	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	195	1965	28523
Seen by Clinical Nurse Specialist (%)	91	69	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	58	461	7393
Undergoing major resection (%)	67	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	1125	15855
Distant metastases (%)	4	5	7
Urgent or emergency surgery (%)	13	17	20
At least 12 lymph nodes excised (%)	76	90	86
Laparoscopic surgery attempted (%)	95	81	67
Risk-adjusted length of stay > 5 days (%)	49	47	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	38	658	10794
Adjuvant chemotherapy (%)	79	54	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	270	3481
Neoadjuvant therapy (%)	40	33	38
Circumferential resection margin: Recorded (%)	89	92	89
Circumferential resection margin: Negative (%)	79	87	82
Rectal volume	16	261	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	94	1328	19595
APER/Hartmanns (%)	45	37	36