This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	123	2335	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	91	96	86
– Performance status (%)	91	98	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	82	1436	19631
ASA grade 1 (%)	2	6	9
ASA grade 2 (%)	51	49	53
ASA grade 3 (%)	45	37	31
ASA grade 4+ (%)	1	7	2
ASA grade not recorded (%)	N/A	1	4
Data completeness of:
7 Audit items for risk-adjustment (%)	100	95	87

All Patients:	Trust	Network	National
Number of patients in Audit	123	2335	35779
Seen by Clinical Nurse Specialist (%)	93	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	82	1436	19614
Distant metastases (%)	9	8	5
Urgent or emergency surgery (%)	4	18	15
At least 12 lymph nodes excised (%)	91	89	84
Laparoscopic surgery attempted (%)	93	65	72
Risk-adjusted length of stay > 5 days (%)	54	60	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	43	N/A	10747
Adjuvant chemotherapy (%)	65	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	31	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	23	N/A	4251
Neoadjuvant therapy (%)	14	N/A	33
Circumferential resection margin: Recorded (%)	43	91	89
Circumferential resection margin: Negative (%)	30	86	83
Rectal volume	23	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	78	1145	19644
APER/Hartmanns (%)	47	45	37