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
• 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:
• Complex vascular reconstruction

All Patients:	Trust	Network	National
Number of patients in Audit	395	1311	38604
Data completeness of:
– Completed stage 1-4 (%)	77	77	82
– Performance status (%)	71	60	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	536	21702
Performance status 0 (%)	38	40	50
Performance status 1 (%)	27	23	22
Performance status 2 (%)	7	5	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	27	32	21
Data completeness of:
7 Audit items for risk-adjustment (%)	63	57	87

All Patients:	Trust	Network	National
Number of patients in Audit	395	1311	38604
Clinical Nurse Specialist (CNS) information recorded (%)	37	50	65
Seen by CNS if CNS record present (%)	97	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	536	21702
Distant metastases (%)	7	5	7
Emergency surgery (%)	8	12	13
At least 12 lymph nodes excised (%)	67	59	53
Laparoscopic surgery attempted (%)	87	69	65
Risk-adjusted length of stay > 5 days (%)	59	62	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	97	366	12052
Adjuvant chemotherapy (%)	63	58	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	26	24	34
Rectal volume	42	107	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	214	656	23317
APER/Hartmanns (%)	30	34	35