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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	111	3047	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	99	86	86
– Performance status (%)	85	82	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	1719	15891
ASA grade 1 (%)	7	7	8
ASA grade 2 (%)	33	49	52
ASA grade 3 (%)	49	36	31
ASA grade 4+ (%)	11	3	2
ASA grade not recorded (%)	N/A	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	94	85	87

All Patients:	Trust	Network	National
Number of patients in Audit	111	3047	28523
Seen by Clinical Nurse Specialist (%)	82	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	29	762	7393
Undergoing major resection (%)	76	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	1719	15855
Distant metastases (%)	7	6	7
Urgent or emergency surgery (%)	36	23	20
At least 12 lymph nodes excised (%)	79	84	86
Laparoscopic surgery attempted (%)	71	63	67
Risk-adjusted length of stay > 5 days (%)	71	51	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	35	1146	10794
Adjuvant chemotherapy (%)	49	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	415	3481
Neoadjuvant therapy (%)	42	35	38
Circumferential resection margin: Recorded (%)	88	83	89
Circumferential resection margin: Negative (%)	76	77	82
Rectal volume	15	406	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	66	2225	19595
APER/Hartmanns (%)	47	35	36