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 thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• 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	181	829	38604
Data completeness of:
– Completed stage 1-4 (%)	60	70	82
– Performance status (%)	35	69	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	108	406	21702
Performance status 0 (%)	26	43	50
Performance status 1 (%)	12	21	22
Performance status 2 (%)	1	4	5
Performance status 3 (%)	1	2	1
Performance status 4 or not recorded (%)	60	29	21
Data completeness of:
7 Audit items for risk-adjustment (%)	18	44	87

All Patients:	Trust	Network	National
Number of patients in Audit	181	829	38604
Clinical Nurse Specialist (CNS) information recorded (%)	38	56	65
Seen by CNS if CNS record present (%)	59	92	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	108	406	21702
Distant metastases (%)	6	8	7
Emergency surgery (%)	8	13	13
At least 12 lymph nodes excised (%)	53	53	53
Laparoscopic surgery attempted (%)	61	66	65
Risk-adjusted length of stay > 5 days (%)	N/A	66	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	46	265	12052
Adjuvant chemotherapy (%)	80	74	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	39	34	34
Rectal volume	39	99	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	196	476	23317
APER/Hartmanns (%)	59	36	35