This trust offers the following services:

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Diagnostic and pre-operative services:
• Age Specific Genetic Testing for Lynch Syndrome

• Support service facilities:
• Dedicated nurses for ERAS services
• 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	206	1796	38604
Data completeness of:
– Completed stage 1-4 (%)	83	81	82
– Performance status (%)	71	75	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	119	930	21702
Performance status 0 (%)	55	47	50
Performance status 1 (%)	24	24	22
Performance status 2 (%)	4	7	5
Performance status 3 (%)	2	2	1
Performance status 4 or not recorded (%)	15	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	69	60	87

All Patients:	Trust	Network	National
Number of patients in Audit	206	1796	38604
Clinical Nurse Specialist (CNS) information recorded (%)	76	62	65
Seen by CNS if CNS record present (%)	93	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	119	930	21702
Distant metastases (%)	9	10	7
Emergency surgery (%)	24	17	13
At least 12 lymph nodes excised (%)	59	46	53
Laparoscopic surgery attempted (%)	53	52	65
Risk-adjusted length of stay > 5 days (%)	65	62	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	76	540	12052
Adjuvant chemotherapy (%)	61	63	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	55	47	34
Rectal volume	25	230	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	94	1011	23317
APER/Hartmanns (%)	26	40	35