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

All Patients:	Trust	Network	National
Number of patients in Audit	148	1808	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	100	82	86
– Performance status (%)	100	97	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	1002	15891
ASA grade 1 (%)	24	8	8
ASA grade 2 (%)	72	56	52
ASA grade 3 (%)	4	30	31
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	91	84	87

All Patients:	Trust	Network	National
Number of patients in Audit	148	1808	28523
Seen by Clinical Nurse Specialist (%)	93	83	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	41	525	7393
Undergoing major resection (%)	78	79	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	1002	15855
Distant metastases (%)	7	5	7
Urgent or emergency surgery (%)	38	23	20
At least 12 lymph nodes excised (%)	82	80	86
Laparoscopic surgery attempted (%)	66	65	67
Risk-adjusted length of stay > 5 days (%)	62	60	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	86	649	10794
Adjuvant chemotherapy (%)	48	57	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	207	3481
Neoadjuvant therapy (%)	33	38	38
Circumferential resection margin: Recorded (%)	100	84	89
Circumferential resection margin: Negative (%)	92	76	82
Rectal volume	17	201	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	115	1279	19595
APER/Hartmanns (%)	31	34	36