This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT

• Diagnostic and pre-operative services:
• Routine Genetic Testing for Lynch Syndrome

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	150	1501	38604
Data completeness of:
– Completed stage 1-4 (%)	91	87	82
– Performance status (%)	96	79	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	90	839	21702
Performance status 0 (%)	76	48	50
Performance status 1 (%)	22	29	22
Performance status 2 (%)	N/A	5	5
Performance status 3 (%)	2	1	1
Performance status 4 or not recorded (%)	N/A	16	21
Data completeness of:
7 Audit items for risk-adjustment (%)	47	43	87

All Patients:	Trust	Network	National
Number of patients in Audit	150	1501	38604
Clinical Nurse Specialist (CNS) information recorded (%)	85	75	65
Seen by CNS if CNS record present (%)	95	80	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	90	839	21702
Distant metastases (%)	3	6	7
Emergency surgery (%)	4	11	13
At least 12 lymph nodes excised (%)	48	34	53
Laparoscopic surgery attempted (%)	76	65	65
Risk-adjusted length of stay > 5 days (%)	73	68	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	45	393	12052
Adjuvant chemotherapy (%)	76	64	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	50	57	34
Rectal volume	19	190	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	93	1083	23317
APER/Hartmanns (%)	40	36	35