This trust offers the following services:

• Acute services:
• 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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• 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	310	662	38604
Data completeness of:
– Completed stage 1-4 (%)	46	59	82
– Performance status (%)	15	28	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	385	21702
Performance status 0 (%)	14	15	50
Performance status 1 (%)	5	11	22
Performance status 2 (%)	1	3	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	80	69	21
Data completeness of:
7 Audit items for risk-adjustment (%)	10	21	87

All Patients:	Trust	Network	National
Number of patients in Audit	310	662	38604
Clinical Nurse Specialist (CNS) information recorded (%)	36	38	65
Seen by CNS if CNS record present (%)	98	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	385	21702
Distant metastases (%)	10	6	7
Emergency surgery (%)	15	16	13
At least 12 lymph nodes excised (%)	42	32	53
Laparoscopic surgery attempted (%)	47	57	65
Risk-adjusted length of stay > 5 days (%)	N/A	64	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	78	208	12052
Adjuvant chemotherapy (%)	58	61	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	44	30	34
Rectal volume	31	81	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	142	346	23317
APER/Hartmanns (%)	36	26	35