This trust offers the following services:

• 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 thoracic surgical team

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• 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	299	2377	38604
Data completeness of:
– Completed stage 1-4 (%)	82	90	82
– Performance status (%)	86	97	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	219	1498	21702
Performance status 0 (%)	60	57	50
Performance status 1 (%)	21	31	22
Performance status 2 (%)	6	7	5
Performance status 3 (%)	N/A	2	1
Performance status 4 or not recorded (%)	12	3	21
Data completeness of:
7 Audit items for risk-adjustment (%)	88	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	299	2377	38604
Clinical Nurse Specialist (CNS) information recorded (%)	78	96	65
Seen by CNS if CNS record present (%)	100	92	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	219	1498	21702
Distant metastases (%)	10	7	7
Emergency surgery (%)	16	14	13
At least 12 lymph nodes excised (%)	88	89	53
Laparoscopic surgery attempted (%)	37	62	65
Risk-adjusted length of stay > 5 days (%)	57	63	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	84	690	12052
Adjuvant chemotherapy (%)	61	58	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	43	28	34
Rectal volume	48	313	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	151	1113	23317
APER/Hartmanns (%)	44	43	35