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
• Robotic surgery

• Advanced disease services:
• 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	370	3	38604
Data completeness of:
– Completed stage 1-4 (%)	93	89	82
– Performance status (%)	94	85	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	230	2312	21702
Performance status 0 (%)	66	65	50
Performance status 1 (%)	21	19	22
Performance status 2 (%)	5	5	5
Performance status 3 (%)	5	1	1
Performance status 4 or not recorded (%)	3	10	21
Data completeness of:
7 Audit items for risk-adjustment (%)	72	73	87

All Patients:	Trust	Network	National
Number of patients in Audit	370	3815	38604
Clinical Nurse Specialist (CNS) information recorded (%)	75	76	65
Seen by CNS if CNS record present (%)	96	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	230	2312	21702
Distant metastases (%)	11	9	7
Emergency surgery (%)	15	16	13
At least 12 lymph nodes excised (%)	42	53	53
Laparoscopic surgery attempted (%)	70	68	65
Risk-adjusted length of stay > 5 days (%)	54	56	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	107	1328	12052
Adjuvant chemotherapy (%)	76	69	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	45	33	34
Rectal volume	36	483	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	256	2603	23317
APER/Hartmanns (%)	30	36	35