This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	246	1	38604
Data completeness of:
– Completed stage 1-4 (%)	93	86	82
– Performance status (%)	95	80	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	972	21702
Performance status 0 (%)	61	56	50
Performance status 1 (%)	31	25	22
Performance status 2 (%)	5	5	5
Performance status 3 (%)	2	2	1
Performance status 4 or not recorded (%)	1	12	21
Data completeness of:
7 Audit items for risk-adjustment (%)	86	71	87

All Patients:	Trust	Network	National
Number of patients in Audit	246	1814	38604
Clinical Nurse Specialist (CNS) information recorded (%)	73	70	65
Seen by CNS if CNS record present (%)	90	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	138	972	21702
Distant metastases (%)	7	9	7
Emergency surgery (%)	14	13	13
At least 12 lymph nodes excised (%)	32	47	53
Laparoscopic surgery attempted (%)	51	51	65
Risk-adjusted length of stay > 5 days (%)	67	66	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	72	570	12052
Adjuvant chemotherapy (%)	64	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	41	38	34
Rectal volume	34	198	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	142	1007	23317
APER/Hartmanns (%)	40	37	35