This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Distal sacrectomy

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

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	207	1667	38604
Data completeness of:
– Completed stage 1-4 (%)	84	82	82
– Performance status (%)	53	50	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	144	965	21702
Performance status 0 (%)	42	33	50
Performance status 1 (%)	13	18	22
Performance status 2 (%)	2	2	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	42	45	21
Data completeness of:
7 Audit items for risk-adjustment (%)	43	40	87

All Patients:	Trust	Network	National
Number of patients in Audit	207	1667	38604
Clinical Nurse Specialist (CNS) information recorded (%)	68	59	65
Seen by CNS if CNS record present (%)	99	98	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	144	965	21702
Distant metastases (%)	6	7	7
Emergency surgery (%)	13	12	13
At least 12 lymph nodes excised (%)	46	49	53
Laparoscopic surgery attempted (%)	73	62	65
Risk-adjusted length of stay > 5 days (%)	81	74	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	89	555	12052
Adjuvant chemotherapy (%)	66	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	44	42	34
Rectal volume	37	236	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	135	1149	23317
APER/Hartmanns (%)	19	31	35