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

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	347	4253	38604
Data completeness of:
– Completed stage 1-4 (%)	80	81	82
– Performance status (%)	69	75	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	212	2462	21702
Performance status 0 (%)	39	48	50
Performance status 1 (%)	27	26	22
Performance status 2 (%)	9	6	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	24	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	57	65	87

All Patients:	Trust	Network	National
Number of patients in Audit	347	4253	38604
Clinical Nurse Specialist (CNS) information recorded (%)	68	65	65
Seen by CNS if CNS record present (%)	65	91	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	212	2462	21702
Distant metastases (%)	9	7	7
Emergency surgery (%)	12	11	13
At least 12 lymph nodes excised (%)	56	57	53
Laparoscopic surgery attempted (%)	61	73	65
Risk-adjusted length of stay > 5 days (%)	64	57	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	112	1372	12052
Adjuvant chemotherapy (%)	79	63	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	52	28	34
Rectal volume	50	546	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	232	2595	23317
APER/Hartmanns (%)	41	34	35