This trust offers the following services:

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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	242	2057	35779
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	76	84	86
– Performance status (%)	99	89	89

Patients having major resection:	Trust	Network	National
Number of patients in Audit	155	1091	19631
ASA grade 1 (%)	4	10	9
ASA grade 2 (%)	55	59	53
ASA grade 3 (%)	37	26	31
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	3	3	4
Data completeness of:
7 Audit items for risk-adjustment (%)	91	90	87

All Patients:	Trust	Network	National
Number of patients in Audit	242	2057	35779
Seen by Clinical Nurse Specialist (%)	75	89	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	155	1091	19614
Distant metastases (%)	6	3	5
Urgent or emergency surgery (%)	12	15	15
At least 12 lymph nodes excised (%)	82	84	84
Laparoscopic surgery attempted (%)	92	84	72
Risk-adjusted length of stay > 5 days (%)	50	49	55

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	65	N/A	10747
Adjuvant chemotherapy (%)	49	N/A	62

Patients receiving chemotherapy after major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	N/A	6608
Severe acute toxicity after adjuvant chemotherapy (%)	6	N/A	22

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	N/A	4251
Neoadjuvant therapy (%)	19	N/A	33
Circumferential resection margin: Recorded (%)	93	86	89
Circumferential resection margin: Negative (%)	90	80	83
Rectal volume	38	N/A	4377

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	130	1092	19644
APER/Hartmanns (%)	22	29	37