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

• Surgical services:
• On-site hepatobiliary surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Extended lymphadenectomy

• 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	275	1079	38604
Data completeness of:
– Completed stage 1-4 (%)	95	91	82
– Performance status (%)	97	80	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	132	588	21702
Performance status 0 (%)	58	46	50
Performance status 1 (%)	27	25	22
Performance status 2 (%)	10	7	5
Performance status 3 (%)	3	3	1
Performance status 4 or not recorded (%)	2	19	21
Data completeness of:
7 Audit items for risk-adjustment (%)	88	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	275	1079	38604
Clinical Nurse Specialist (CNS) information recorded (%)	83	79	65
Seen by CNS if CNS record present (%)	93	97	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	132	588	21702
Distant metastases (%)	11	7	7
Emergency surgery (%)	14	13	13
At least 12 lymph nodes excised (%)	68	60	53
Laparoscopic surgery attempted (%)	54	47	65
Risk-adjusted length of stay > 5 days (%)	79	70	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	101	358	12052
Adjuvant chemotherapy (%)	72	72	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	42	42	34
Rectal volume	30	145	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	176	706	23317
APER/Hartmanns (%)	26	38	35