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:
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	270	1079	38604
Data completeness of:
– Completed stage 1-4 (%)	91	91	82
– Performance status (%)	91	80	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	175	588	21702
Performance status 0 (%)	63	46	50
Performance status 1 (%)	25	25	22
Performance status 2 (%)	4	7	5
Performance status 3 (%)	2	3	1
Performance status 4 or not recorded (%)	6	19	21
Data completeness of:
7 Audit items for risk-adjustment (%)	84	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	270	1079	38604
Clinical Nurse Specialist (CNS) information recorded (%)	64	79	65
Seen by CNS if CNS record present (%)	99	97	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	175	588	21702
Distant metastases (%)	4	7	7
Emergency surgery (%)	6	13	13
At least 12 lymph nodes excised (%)	58	60	53
Laparoscopic surgery attempted (%)	67	47	65
Risk-adjusted length of stay > 5 days (%)	70	70	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	75	358	12052
Adjuvant chemotherapy (%)	77	72	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	44	42	34
Rectal volume	58	145	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	184	706	23317
APER/Hartmanns (%)	42	38	35