This trust offers the following services:

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

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced Outpatient Clinic

• 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	277	1226	38604
Data completeness of:
– Completed stage 1-4 (%)	74	78	82
– Performance status (%)	60	56	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	736	21702
Performance status 0 (%)	66	44	50
Performance status 1 (%)	11	13	22
Performance status 2 (%)	N/A	3	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	23	39	21
Data completeness of:
7 Audit items for risk-adjustment (%)	63	40	87

All Patients:	Trust	Network	National
Number of patients in Audit	277	1226	38604
Clinical Nurse Specialist (CNS) information recorded (%)	49	57	65
Seen by CNS if CNS record present (%)	97	85	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	736	21702
Distant metastases (%)	4	5	7
Emergency surgery (%)	13	15	13
At least 12 lymph nodes excised (%)	63	54	53
Laparoscopic surgery attempted (%)	79	68	65
Risk-adjusted length of stay > 5 days (%)	45	64	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	446	12052
Adjuvant chemotherapy (%)	58	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	22	20	34
Rectal volume	22	136	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	156	839	23317
APER/Hartmanns (%)	29	30	35