This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

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

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	319	1311	38604
Data completeness of:
– Completed stage 1-4 (%)	60	77	82
– Performance status (%)	37	60	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	536	21702
Performance status 0 (%)	47	40	50
Performance status 1 (%)	12	23	22
Performance status 2 (%)	4	5	5
Performance status 3 (%)	2	1	1
Performance status 4 or not recorded (%)	35	32	21
Data completeness of:
7 Audit items for risk-adjustment (%)	54	57	87

All Patients:	Trust	Network	National
Number of patients in Audit	319	1311	38604
Clinical Nurse Specialist (CNS) information recorded (%)	17	50	65
Seen by CNS if CNS record present (%)	98	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	536	21702
Distant metastases (%)	5	5	7
Emergency surgery (%)	20	12	13
At least 12 lymph nodes excised (%)	68	59	53
Laparoscopic surgery attempted (%)	71	69	65
Risk-adjusted length of stay > 5 days (%)	56	62	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	99	366	12052
Adjuvant chemotherapy (%)	42	58	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	10	24	34
Rectal volume	21	107	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	119	656	23317
APER/Hartmanns (%)	43	34	35