This trust offers the following services:

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

• Support service facilities:
• Dedicated nurses for ERAS services
• 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	160	1302	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	76	92	86
– Performance status (%)	74	87	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	635	15891
ASA grade 1 (%)	N/A	11	8
ASA grade 2 (%)	60	55	52
ASA grade 3 (%)	20	29	31
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	20	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	70	94	87

All Patients:	Trust	Network	National
Number of patients in Audit	160	1301	28523
Seen by Clinical Nurse Specialist (%)	81	90	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	47	320	7393
Undergoing major resection (%)	57	73	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	635	15855
Distant metastases (%)	8	6	7
Urgent or emergency surgery (%)	21	27	20
At least 12 lymph nodes excised (%)	94	87	86
Laparoscopic surgery attempted (%)	35	55	67
Risk-adjusted length of stay > 5 days (%)	87	63	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	65	546	10794
Adjuvant chemotherapy (%)	58	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	114	3481
Neoadjuvant therapy (%)	N/A	53	38
Circumferential resection margin: Recorded (%)	N/A	93	89
Circumferential resection margin: Negative (%)	N/A	82	82
Rectal volume	N/A	121	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	81	855	19595
APER/Hartmanns (%)	28	44	36