This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• 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 hepatobiliary surgical team
• 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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	496	2754	38604
Data completeness of:
– Completed stage 1-4 (%)	92	81	82
– Performance status (%)	95	77	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	250	1486	21702
Performance status 0 (%)	64	50	50
Performance status 1 (%)	28	25	22
Performance status 2 (%)	6	6	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	2	18	21
Data completeness of:
7 Audit items for risk-adjustment (%)	55	56	87

All Patients:	Trust	Network	National
Number of patients in Audit	496	2754	38604
Clinical Nurse Specialist (CNS) information recorded (%)	72	54	65
Seen by CNS if CNS record present (%)	96	97	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	250	1486	21702
Distant metastases (%)	9	8	7
Emergency surgery (%)	14	15	13
At least 12 lymph nodes excised (%)	44	46	53
Laparoscopic surgery attempted (%)	67	67	65
Risk-adjusted length of stay > 5 days (%)	57	59	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	117	769	12052
Adjuvant chemotherapy (%)	64	64	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	43	44	34
Rectal volume	55	342	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	302	1644	23317
APER/Hartmanns (%)	48	41	35