This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

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

• Support service facilities:
• 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	320	770	38604
Data completeness of:
– Completed stage 1-4 (%)	87	87	82
– Performance status (%)	95	55	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	228	482	21702
Performance status 0 (%)	51	37	50
Performance status 1 (%)	30	16	22
Performance status 2 (%)	12	7	5
Performance status 3 (%)	4	2	1
Performance status 4 or not recorded (%)	2	38	21
Data completeness of:
7 Audit items for risk-adjustment (%)	30	29	87

All Patients:	Trust	Network	National
Number of patients in Audit	320	770	38604
Clinical Nurse Specialist (CNS) information recorded (%)	78	61	65
Seen by CNS if CNS record present (%)	75	87	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	228	482	21702
Distant metastases (%)	12	10	7
Emergency surgery (%)	20	14	13
At least 12 lymph nodes excised (%)	15	36	53
Laparoscopic surgery attempted (%)	56	65	65
Risk-adjusted length of stay > 5 days (%)	58	58	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	100	208	12052
Adjuvant chemotherapy (%)	63	65	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	56	55	34
Rectal volume	31	73	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	161	358	23317
APER/Hartmanns (%)	22	23	35