This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1200	28523
Case ascertainment (%)	Poor	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	N/A	96	86
– Performance status (%)	N/A	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	636	15891
ASA grade 1 (%)	N/A	12	8
ASA grade 2 (%)	N/A	57	52
ASA grade 3 (%)	N/A	28	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	N/A	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1200	28523
Seen by Clinical Nurse Specialist (%)	N/A	91	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	N/A	320	7393
Undergoing major resection (%)	N/A	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	636	15855
Distant metastases (%)	N/A	5	7
Urgent or emergency surgery (%)	N/A	25	20
At least 12 lymph nodes excised (%)	N/A	92	86
Laparoscopic surgery attempted (%)	N/A	66	67
Risk-adjusted length of stay > 5 days (%)	N/A	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	N/A	519	10794
Adjuvant chemotherapy (%)	N/A	55	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	124	3481
Neoadjuvant therapy (%)	N/A	44	38
Circumferential resection margin: Recorded (%)	N/A	94	89
Circumferential resection margin: Negative (%)	N/A	84	82
Rectal volume	N/A	124	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	66	862	19595
APER/Hartmanns (%)	39	36	36