This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Extended lymphadenectomy

All Patients:	Trust	Network	National
Number of patients in Audit	172	1	38604
Data completeness of:
– Completed stage 1-4 (%)	91	86	82
– Performance status (%)	72	80	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	73	972	21702
Performance status 0 (%)	60	56	50
Performance status 1 (%)	18	25	22
Performance status 2 (%)	3	5	5
Performance status 3 (%)	4	2	1
Performance status 4 or not recorded (%)	15	12	21
Data completeness of:
7 Audit items for risk-adjustment (%)	56	71	87

All Patients:	Trust	Network	National
Number of patients in Audit	172	1814	38604
Clinical Nurse Specialist (CNS) information recorded (%)	60	70	65
Seen by CNS if CNS record present (%)	98	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	73	972	21702
Distant metastases (%)	14	9	7
Emergency surgery (%)	11	13	13
At least 12 lymph nodes excised (%)	2	47	53
Laparoscopic surgery attempted (%)	60	51	65
Risk-adjusted length of stay > 5 days (%)	52	66	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	44	570	12052
Adjuvant chemotherapy (%)	52	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	27	38	34
Rectal volume	13	198	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	79	1007	23317
APER/Hartmanns (%)	28	37	35