This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Age Specific Genetic Testing for Lynch Syndrome

• Surgical services:
• Robotic surgery

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

• 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	N/A	1796	38604
Data completeness of:
– Completed stage 1-4 (%)	N/A	81	82
– Performance status (%)	N/A	75	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	90	930	21702
Performance status 0 (%)	56	47	50
Performance status 1 (%)	18	24	22
Performance status 2 (%)	4	7	5
Performance status 3 (%)	N/A	2	1
Performance status 4 or not recorded (%)	22	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	33	60	87

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1796	38604
Clinical Nurse Specialist (CNS) information recorded (%)	N/A	62	65
Seen by CNS if CNS record present (%)	99	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	90	930	21702
Distant metastases (%)	27	10	7
Emergency surgery (%)	11	17	13
At least 12 lymph nodes excised (%)	37	46	53
Laparoscopic surgery attempted (%)	18	52	65
Risk-adjusted length of stay > 5 days (%)	84	62	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	25	540	12052
Adjuvant chemotherapy (%)	68	63	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	78	47	34
Rectal volume	31	230	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	143	1011	23317
APER/Hartmanns (%)	71	40	35