This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Diagnostic and pre-operative services:
• Routine Genetic Testing for Lynch Syndrome

All Patients:	Trust	Network	National
Number of patients in Audit	261	1079	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	95	86
– Performance status (%)	100	93	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	649	19631
ASA grade 1 (%)	20	7	9
ASA grade 2 (%)	39	48	53
ASA grade 3 (%)	38	43	31
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	1	N/A	4
Data completeness of:
7 Audit items for risk-adjustment (%)	99	97	87

All Patients:	Trust	Network	National
Number of patients in Audit	261	1079	35779
Seen by Clinical Nurse Specialist (%)	97	87	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	649	19614
Distant metastases (%)	6	5	5
Urgent or emergency surgery (%)	10	34	15
At least 12 lymph nodes excised (%)	90	85	84
Laparoscopic surgery attempted (%)	65	59	72
Risk-adjusted length of stay > 5 days (%)	63	51	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	112	N/A	10747
Adjuvant chemotherapy (%)	60	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	65	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	22	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	N/A	4251
Neoadjuvant therapy (%)	53	N/A	33
Circumferential resection margin: Recorded (%)	100	93	89
Circumferential resection margin: Negative (%)	81	85	83
Rectal volume	38	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	184	667	19644
APER/Hartmanns (%)	55	46	37