This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Diagnostic and pre-operative services:
• Routine 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	149	3	38604
Data completeness of:
– Completed stage 1-4 (%)	95	89	82
– Performance status (%)	95	85	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	113	2312	21702
Performance status 0 (%)	54	65	50
Performance status 1 (%)	32	19	22
Performance status 2 (%)	10	5	5
Performance status 3 (%)	3	1	1
Performance status 4 or not recorded (%)	2	10	21
Data completeness of:
7 Audit items for risk-adjustment (%)	81	73	87

All Patients:	Trust	Network	National
Number of patients in Audit	149	3815	38604
Clinical Nurse Specialist (CNS) information recorded (%)	81	76	65
Seen by CNS if CNS record present (%)	92	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	113	2312	21702
Distant metastases (%)	17	9	7
Emergency surgery (%)	22	16	13
At least 12 lymph nodes excised (%)	59	53	53
Laparoscopic surgery attempted (%)	64	68	65
Risk-adjusted length of stay > 5 days (%)	69	56	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	50	1328	12052
Adjuvant chemotherapy (%)	66	69	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	33	33	34
Rectal volume	22	483	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	86	2603	23317
APER/Hartmanns (%)	40	36	35