This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Surgical services:
• On-site thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	255	1079	38604
Data completeness of:
– Completed stage 1-4 (%)	87	91	82
– Performance status (%)	31	80	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	588	21702
Performance status 0 (%)	16	46	50
Performance status 1 (%)	8	25	22
Performance status 2 (%)	N/A	7	5
Performance status 3 (%)	N/A	3	1
Performance status 4 or not recorded (%)	76	19	21
Data completeness of:
7 Audit items for risk-adjustment (%)	14	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	255	1079	38604
Clinical Nurse Specialist (CNS) information recorded (%)	82	79	65
Seen by CNS if CNS record present (%)	97	97	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	125	588	21702
Distant metastases (%)	7	7	7
Emergency surgery (%)	18	13	13
At least 12 lymph nodes excised (%)	56	60	53
Laparoscopic surgery attempted (%)	26	47	65
Risk-adjusted length of stay > 5 days (%)	N/A	70	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	80	358	12052
Adjuvant chemotherapy (%)	71	72	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	42	42	34
Rectal volume	28	145	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	157	706	23317
APER/Hartmanns (%)	48	38	35