This trust offers the following services:

• 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:
• Robotic surgery

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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	293	4253	38604
Data completeness of:
– Completed stage 1-4 (%)	82	81	82
– Performance status (%)	84	75	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	167	2462	21702
Performance status 0 (%)	50	48	50
Performance status 1 (%)	35	26	22
Performance status 2 (%)	8	6	5
Performance status 3 (%)	2	1	1
Performance status 4 or not recorded (%)	4	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	90	65	87

All Patients:	Trust	Network	National
Number of patients in Audit	293	4253	38604
Clinical Nurse Specialist (CNS) information recorded (%)	66	65	65
Seen by CNS if CNS record present (%)	96	91	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	167	2462	21702
Distant metastases (%)	10	7	7
Emergency surgery (%)	10	11	13
At least 12 lymph nodes excised (%)	57	57	53
Laparoscopic surgery attempted (%)	78	73	65
Risk-adjusted length of stay > 5 days (%)	68	57	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	103	1372	12052
Adjuvant chemotherapy (%)	65	63	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	9	28	34
Rectal volume	32	546	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	182	2595	23317
APER/Hartmanns (%)	37	34	35