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
• Availability of 24 hour palliative care advice
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	174	1592	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	93	86
– Performance status (%)	79	95	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	784	15891
ASA grade 1 (%)	N/A	7	8
ASA grade 2 (%)	N/A	58	52
ASA grade 3 (%)	N/A	29	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	174	1592	28523
Seen by Clinical Nurse Specialist (%)	98	89	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	60	429	7393
Undergoing major resection (%)	77	77	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	784	15855
Distant metastases (%)	N/A	5	7
Urgent or emergency surgery (%)	N/A	14	20
At least 12 lymph nodes excised (%)	N/A	90	86
Laparoscopic surgery attempted (%)	N/A	75	67
Risk-adjusted length of stay > 5 days (%)	N/A	49	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	49	537	10794
Adjuvant chemotherapy (%)	49	64	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	194	3481
Neoadjuvant therapy (%)	N/A	36	38
Circumferential resection margin: Recorded (%)	N/A	84	89
Circumferential resection margin: Negative (%)	N/A	77	82
Rectal volume	N/A	174	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	87	1038	19595
APER/Hartmanns (%)	40	32	36