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

All Patients:	Trust	Network	National
Number of patients in Audit	87	1200	28523
Case ascertainment (%)	Fair	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	98	96	86
– Performance status (%)	91	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	64	636	15891
ASA grade 1 (%)	6	12	8
ASA grade 2 (%)	55	57	52
ASA grade 3 (%)	34	28	31
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	98	87

All Patients:	Trust	Network	National
Number of patients in Audit	87	1200	28523
Seen by Clinical Nurse Specialist (%)	91	91	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	13	320	7393
Undergoing major resection (%)	77	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	64	636	15855
Distant metastases (%)	13	5	7
Urgent or emergency surgery (%)	14	25	20
At least 12 lymph nodes excised (%)	95	92	86
Laparoscopic surgery attempted (%)	31	66	67
Risk-adjusted length of stay > 5 days (%)	69	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	34	519	10794
Adjuvant chemotherapy (%)	65	55	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	124	3481
Neoadjuvant therapy (%)	30	44	38
Circumferential resection margin: Recorded (%)	100	94	89
Circumferential resection margin: Negative (%)	85	84	82
Rectal volume	16	124	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	58	862	19595
APER/Hartmanns (%)	55	36	36