This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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 Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

• 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	372	1501	38604
Data completeness of:
– Completed stage 1-4 (%)	91	87	82
– Performance status (%)	80	79	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	251	839	21702
Performance status 0 (%)	41	48	50
Performance status 1 (%)	36	29	22
Performance status 2 (%)	7	5	5
Performance status 3 (%)	2	1	1
Performance status 4 or not recorded (%)	14	16	21
Data completeness of:
7 Audit items for risk-adjustment (%)	37	43	87

All Patients:	Trust	Network	National
Number of patients in Audit	372	1501	38604
Clinical Nurse Specialist (CNS) information recorded (%)	74	75	65
Seen by CNS if CNS record present (%)	71	80	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	251	839	21702
Distant metastases (%)	10	6	7
Emergency surgery (%)	12	11	13
At least 12 lymph nodes excised (%)	6	34	53
Laparoscopic surgery attempted (%)	53	65	65
Risk-adjusted length of stay > 5 days (%)	63	68	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	84	393	12052
Adjuvant chemotherapy (%)	56	64	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	77	57	34
Rectal volume	63	190	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	397	1083	23317
APER/Hartmanns (%)	43	36	35