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:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Extended lymphadenectomy

• 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	203	1305	38604
Data completeness of:
– Completed stage 1-4 (%)	67	73	82
– Performance status (%)	69	72	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	119	796	21702
Performance status 0 (%)	44	47	50
Performance status 1 (%)	24	23	22
Performance status 2 (%)	5	3	5
Performance status 3 (%)	2	1	1
Performance status 4 or not recorded (%)	26	25	21
Data completeness of:
7 Audit items for risk-adjustment (%)	37	52	87

All Patients:	Trust	Network	National
Number of patients in Audit	203	1305	38604
Clinical Nurse Specialist (CNS) information recorded (%)	62	69	65
Seen by CNS if CNS record present (%)	94	98	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	119	796	21702
Distant metastases (%)	10	5	7
Emergency surgery (%)	14	11	13
At least 12 lymph nodes excised (%)	48	59	53
Laparoscopic surgery attempted (%)	66	64	65
Risk-adjusted length of stay > 5 days (%)	64	58	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	70	474	12052
Adjuvant chemotherapy (%)	73	73	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	39	39	34
Rectal volume	19	143	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	112	743	23317
APER/Hartmanns (%)	26	37	35