This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	311	2116	38604
Data completeness of:
– Completed stage 1-4 (%)	90	75	82
– Performance status (%)	72	69	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	195	1037	21702
Performance status 0 (%)	56	52	50
Performance status 1 (%)	18	18	22
Performance status 2 (%)	4	3	5
Performance status 3 (%)	1	N/A	1
Performance status 4 or not recorded (%)	22	26	21
Data completeness of:
7 Audit items for risk-adjustment (%)	65	59	87

All Patients:	Trust	Network	National
Number of patients in Audit	311	2116	38604
Clinical Nurse Specialist (CNS) information recorded (%)	81	63	65
Seen by CNS if CNS record present (%)	76	93	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	195	1037	21702
Distant metastases (%)	11	6	7
Emergency surgery (%)	17	13	13
At least 12 lymph nodes excised (%)	53	58	53
Laparoscopic surgery attempted (%)	64	66	65
Risk-adjusted length of stay > 5 days (%)	61	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	111	648	12052
Adjuvant chemotherapy (%)	69	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	4	23	34
Rectal volume	52	265	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	199	1251	23317
APER/Hartmanns (%)	30	30	35