This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	285	1226	38604
Data completeness of:
– Completed stage 1-4 (%)	64	78	82
– Performance status (%)	49	56	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	140	736	21702
Performance status 0 (%)	30	44	50
Performance status 1 (%)	13	13	22
Performance status 2 (%)	2	3	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	54	39	21
Data completeness of:
7 Audit items for risk-adjustment (%)	25	40	87

All Patients:	Trust	Network	National
Number of patients in Audit	285	1226	38604
Clinical Nurse Specialist (CNS) information recorded (%)	80	57	65
Seen by CNS if CNS record present (%)	66	85	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	140	736	21702
Distant metastases (%)	1	5	7
Emergency surgery (%)	11	15	13
At least 12 lymph nodes excised (%)	54	54	53
Laparoscopic surgery attempted (%)	78	68	65
Risk-adjusted length of stay > 5 days (%)	53	64	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	103	446	12052
Adjuvant chemotherapy (%)	57	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	20	20	34
Rectal volume	25	136	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	192	839	23317
APER/Hartmanns (%)	36	30	35