This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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 MDT

• 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	379	2421	38604
Data completeness of:
– Completed stage 1-4 (%)	88	81	82
– Performance status (%)	91	76	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	198	1347	21702
Performance status 0 (%)	74	57	50
Performance status 1 (%)	14	18	22
Performance status 2 (%)	4	4	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	7	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	77	67	87

All Patients:	Trust	Network	National
Number of patients in Audit	379	2421	38604
Clinical Nurse Specialist (CNS) information recorded (%)	77	63	65
Seen by CNS if CNS record present (%)	97	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	198	1347	21702
Distant metastases (%)	6	7	7
Emergency surgery (%)	9	11	13
At least 12 lymph nodes excised (%)	30	49	53
Laparoscopic surgery attempted (%)	62	59	65
Risk-adjusted length of stay > 5 days (%)	63	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	112	765	12052
Adjuvant chemotherapy (%)	66	57	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	22	23	34
Rectal volume	33	243	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	150	1212	23317
APER/Hartmanns (%)	41	30	35