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

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

• 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	568	1305	38604
Data completeness of:
– Completed stage 1-4 (%)	80	73	82
– Performance status (%)	86	72	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	350	796	21702
Performance status 0 (%)	77	47	50
Performance status 1 (%)	8	23	22
Performance status 2 (%)	4	3	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	9	25	21
Data completeness of:
7 Audit items for risk-adjustment (%)	63	52	87

All Patients:	Trust	Network	National
Number of patients in Audit	568	1305	38604
Clinical Nurse Specialist (CNS) information recorded (%)	73	69	65
Seen by CNS if CNS record present (%)	99	98	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	350	796	21702
Distant metastases (%)	3	5	7
Emergency surgery (%)	9	11	13
At least 12 lymph nodes excised (%)	63	59	53
Laparoscopic surgery attempted (%)	67	64	65
Risk-adjusted length of stay > 5 days (%)	50	58	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	214	474	12052
Adjuvant chemotherapy (%)	77	73	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	44	39	34
Rectal volume	63	143	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	305	743	23317
APER/Hartmanns (%)	44	37	35