This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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 hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Distal sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• Support service facilities:
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	302	2377	38604
Data completeness of:
– Completed stage 1-4 (%)	78	90	82
– Performance status (%)	95	97	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	209	1498	21702
Performance status 0 (%)	57	57	50
Performance status 1 (%)	29	31	22
Performance status 2 (%)	10	7	5
Performance status 3 (%)	2	2	1
Performance status 4 or not recorded (%)	2	3	21
Data completeness of:
7 Audit items for risk-adjustment (%)	91	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	302	2377	38604
Clinical Nurse Specialist (CNS) information recorded (%)	95	96	65
Seen by CNS if CNS record present (%)	94	92	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	209	1498	21702
Distant metastases (%)	8	7	7
Emergency surgery (%)	10	14	13
At least 12 lymph nodes excised (%)	82	89	53
Laparoscopic surgery attempted (%)	78	62	65
Risk-adjusted length of stay > 5 days (%)	52	63	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	94	690	12052
Adjuvant chemotherapy (%)	61	58	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	30	28	34
Rectal volume	45	313	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	93	1113	23317
APER/Hartmanns (%)	32	43	35