This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Diagnostic and pre-operative services:
• Routine Genetic Testing for Lynch Syndrome

• Support service facilities:
• 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	829	38604
Data completeness of:
– Completed stage 1-4 (%)	67	70	82
– Performance status (%)	72	69	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	406	21702
Performance status 0 (%)	54	43	50
Performance status 1 (%)	17	21	22
Performance status 2 (%)	1	4	5
Performance status 3 (%)	2	2	1
Performance status 4 or not recorded (%)	26	29	21
Data completeness of:
7 Audit items for risk-adjustment (%)	36	44	87

All Patients:	Trust	Network	National
Number of patients in Audit	275	829	38604
Clinical Nurse Specialist (CNS) information recorded (%)	36	56	65
Seen by CNS if CNS record present (%)	92	92	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	406	21702
Distant metastases (%)	10	8	7
Emergency surgery (%)	17	13	13
At least 12 lymph nodes excised (%)	52	53	53
Laparoscopic surgery attempted (%)	64	66	65
Risk-adjusted length of stay > 5 days (%)	63	66	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	112	265	12052
Adjuvant chemotherapy (%)	75	74	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	25	34	34
Rectal volume	26	99	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	119	476	23317
APER/Hartmanns (%)	22	36	35