This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Complex vascular reconstruction
• Distal sacrectomy
• Extended lymphadenectomy

• 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	121	1667	38604
Data completeness of:
– Completed stage 1-4 (%)	79	82	82
– Performance status (%)	57	50	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	83	965	21702
Performance status 0 (%)	39	33	50
Performance status 1 (%)	17	18	22
Performance status 2 (%)	6	2	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	39	45	21
Data completeness of:
7 Audit items for risk-adjustment (%)	51	40	87

All Patients:	Trust	Network	National
Number of patients in Audit	121	1667	38604
Clinical Nurse Specialist (CNS) information recorded (%)	48	59	65
Seen by CNS if CNS record present (%)	95	98	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	83	965	21702
Distant metastases (%)	5	7	7
Emergency surgery (%)	18	12	13
At least 12 lymph nodes excised (%)	51	49	53
Laparoscopic surgery attempted (%)	57	62	65
Risk-adjusted length of stay > 5 days (%)	71	74	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	51	555	12052
Adjuvant chemotherapy (%)	75	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	42	42	34
Rectal volume	19	236	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	67	1149	23317
APER/Hartmanns (%)	19	31	35