This trust offers the following services:

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Intraoperative RTX

• 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	249	1406	38604
Data completeness of:
– Completed stage 1-4 (%)	84	68	82
– Performance status (%)	84	68	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	156	692	21702
Performance status 0 (%)	59	54	50
Performance status 1 (%)	20	25	22
Performance status 2 (%)	7	6	5
Performance status 3 (%)	1	N/A	1
Performance status 4 or not recorded (%)	13	14	21
Data completeness of:
7 Audit items for risk-adjustment (%)	54	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	249	1406	38604
Clinical Nurse Specialist (CNS) information recorded (%)	55	55	65
Seen by CNS if CNS record present (%)	90	93	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	156	692	21702
Distant metastases (%)	8	6	7
Emergency surgery (%)	12	11	13
At least 12 lymph nodes excised (%)	35	45	53
Laparoscopic surgery attempted (%)	44	65	65
Risk-adjusted length of stay > 5 days (%)	50	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	78	385	12052
Adjuvant chemotherapy (%)	71	69	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	29	33	34
Rectal volume	43	166	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	174	1028	23317
APER/Hartmanns (%)	30	35	35