This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Distal sacrectomy
• Extended lymphadenectomy

• 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	177	2421	38604
Data completeness of:
– Completed stage 1-4 (%)	88	81	82
– Performance status (%)	94	76	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	97	1347	21702
Performance status 0 (%)	65	57	50
Performance status 1 (%)	28	18	22
Performance status 2 (%)	6	4	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	1	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	78	67	87

All Patients:	Trust	Network	National
Number of patients in Audit	177	2421	38604
Clinical Nurse Specialist (CNS) information recorded (%)	78	63	65
Seen by CNS if CNS record present (%)	100	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	97	1347	21702
Distant metastases (%)	10	7	7
Emergency surgery (%)	14	11	13
At least 12 lymph nodes excised (%)	49	49	53
Laparoscopic surgery attempted (%)	60	59	65
Risk-adjusted length of stay > 5 days (%)	50	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	68	765	12052
Adjuvant chemotherapy (%)	62	57	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	13	23	34
Rectal volume	21	243	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	120	1212	23317
APER/Hartmanns (%)	24	30	35