This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• HIPEC/cytoreductive surgery

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	343	770	38604
Data completeness of:
– Completed stage 1-4 (%)	85	87	82
– Performance status (%)	12	55	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	201	482	21702
Performance status 0 (%)	12	37	50
Performance status 1 (%)	2	16	22
Performance status 2 (%)	2	7	5
Performance status 3 (%)	N/A	2	1
Performance status 4 or not recorded (%)	83	38	21
Data completeness of:
7 Audit items for risk-adjustment (%)	15	29	87

All Patients:	Trust	Network	National
Number of patients in Audit	343	770	38604
Clinical Nurse Specialist (CNS) information recorded (%)	38	61	65
Seen by CNS if CNS record present (%)	100	87	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	201	482	21702
Distant metastases (%)	5	10	7
Emergency surgery (%)	8	14	13
At least 12 lymph nodes excised (%)	58	36	53
Laparoscopic surgery attempted (%)	75	65	65
Risk-adjusted length of stay > 5 days (%)	N/A	58	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	79	208	12052
Adjuvant chemotherapy (%)	70	65	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	57	55	34
Rectal volume	33	73	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	155	358	23317
APER/Hartmanns (%)	25	23	35