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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	251	3	38604
Data completeness of:
– Completed stage 1-4 (%)	93	89	82
– Performance status (%)	92	85	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	140	2312	21702
Performance status 0 (%)	66	65	50
Performance status 1 (%)	18	19	22
Performance status 2 (%)	8	5	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	7	10	21
Data completeness of:
7 Audit items for risk-adjustment (%)	84	73	87

All Patients:	Trust	Network	National
Number of patients in Audit	251	3815	38604
Clinical Nurse Specialist (CNS) information recorded (%)	85	76	65
Seen by CNS if CNS record present (%)	88	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	140	2312	21702
Distant metastases (%)	8	9	7
Emergency surgery (%)	22	16	13
At least 12 lymph nodes excised (%)	56	53	53
Laparoscopic surgery attempted (%)	64	68	65
Risk-adjusted length of stay > 5 days (%)	38	56	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	86	1328	12052
Adjuvant chemotherapy (%)	58	69	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	46	33	34
Rectal volume	26	483	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	163	2603	23317
APER/Hartmanns (%)	21	36	35