This trust offers the following services:

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

All Patients:	Trust	Network	National
Number of patients in Audit	74	322	28523
Case ascertainment (%)	Good	Fair	Good
Data completeness of:
– Pre-treatment TNM (%)	88	80	86
– Performance status (%)	92	59	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	206	15891
ASA grade 1 (%)	23	7	8
ASA grade 2 (%)	23	47	52
ASA grade 3 (%)	50	35	31
ASA grade 4+ (%)	3	1	2
ASA grade not recorded (%)	N/A	9	7
Data completeness of:
7 Audit items for risk-adjustment (%)	77	85	87

All Patients:	Trust	Network	National
Number of patients in Audit	74	322	28523
Seen by Clinical Nurse Specialist (%)	97	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	13	79	7393
Undergoing major resection (%)	92	82	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	206	15855
Distant metastases (%)	13	7	7
Urgent or emergency surgery (%)	13	15	20
At least 12 lymph nodes excised (%)	79	91	86
Laparoscopic surgery attempted (%)	70	79	67
Risk-adjusted length of stay > 5 days (%)	84	65	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	28	179	10794
Adjuvant chemotherapy (%)	61	63	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	45	3481
Neoadjuvant therapy (%)	N/A	27	38
Circumferential resection margin: Recorded (%)	N/A	91	89
Circumferential resection margin: Negative (%)	N/A	87	82
Rectal volume	N/A	45	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	46	245	19595
APER/Hartmanns (%)	26	26	36