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	208	790	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	94	86
– Performance status (%)	100	93	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	140	520	15891
ASA grade 1 (%)	11	5	8
ASA grade 2 (%)	32	39	52
ASA grade 3 (%)	48	50	31
ASA grade 4+ (%)	9	4	2
ASA grade not recorded (%)	N/A	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	208	790	28523
Seen by Clinical Nurse Specialist (%)	96	88	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	51	211	7393
Undergoing major resection (%)	92	88	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	140	520	15855
Distant metastases (%)	3	6	7
Urgent or emergency surgery (%)	30	41	20
At least 12 lymph nodes excised (%)	88	82	86
Laparoscopic surgery attempted (%)	60	57	67
Risk-adjusted length of stay > 5 days (%)	61	53	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	110	362	10794
Adjuvant chemotherapy (%)	61	62	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	36	120	3481
Neoadjuvant therapy (%)	70	61	38
Circumferential resection margin: Recorded (%)	94	93	89
Circumferential resection margin: Negative (%)	75	83	82
Rectal volume	35	114	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	189	654	19595
APER/Hartmanns (%)	56	48	36