This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Extended lymphadenectomy

• 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

All Patients:	Trust	Network	National
Number of patients in Audit	162	1146	35779
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	73	90	86
– Performance status (%)	64	94	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	69	638	19631
ASA grade 1 (%)	17	7	9
ASA grade 2 (%)	54	54	53
ASA grade 3 (%)	29	36	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	N/A	N/A	4
Data completeness of:
7 Audit items for risk-adjustment (%)	83	97	87

All Patients:	Trust	Network	National
Number of patients in Audit	162	1146	35779
Seen by Clinical Nurse Specialist (%)	93	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	69	638	19614
Distant metastases (%)	2	9	5
Urgent or emergency surgery (%)	16	13	15
At least 12 lymph nodes excised (%)	81	88	84
Laparoscopic surgery attempted (%)	74	73	72
Risk-adjusted length of stay > 5 days (%)	50	46	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	44	N/A	10747
Adjuvant chemotherapy (%)	52	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	23	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	21	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	N/A	4251
Neoadjuvant therapy (%)	52	N/A	33
Circumferential resection margin: Recorded (%)	36	91	89
Circumferential resection margin: Negative (%)	29	82	83
Rectal volume	17	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	79	774	19644
APER/Hartmanns (%)	35	41	37