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
• 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

All Patients:	Trust	Network	National
Number of patients in Audit	367	1406	38604
Data completeness of:
– Completed stage 1-4 (%)	86	68	82
– Performance status (%)	93	68	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	233	692	21702
Performance status 0 (%)	70	54	50
Performance status 1 (%)	21	25	22
Performance status 2 (%)	6	6	5
Performance status 3 (%)	N/A	N/A	1
Performance status 4 or not recorded (%)	3	14	21
Data completeness of:
7 Audit items for risk-adjustment (%)	81	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	367	1406	38604
Clinical Nurse Specialist (CNS) information recorded (%)	75	55	65
Seen by CNS if CNS record present (%)	94	93	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	233	692	21702
Distant metastases (%)	6	6	7
Emergency surgery (%)	11	11	13
At least 12 lymph nodes excised (%)	51	45	53
Laparoscopic surgery attempted (%)	77	65	65
Risk-adjusted length of stay > 5 days (%)	62	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	118	385	12052
Adjuvant chemotherapy (%)	66	69	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	41	33	34
Rectal volume	45	166	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	256	1028	23317
APER/Hartmanns (%)	38	35	35