This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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

• 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	188	1985	38604
Data completeness of:
– Completed stage 1-4 (%)	93	83	82
– Performance status (%)	80	86	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	127	1159	21702
Performance status 0 (%)	46	63	50
Performance status 1 (%)	27	21	22
Performance status 2 (%)	6	5	5
Performance status 3 (%)	4	1	1
Performance status 4 or not recorded (%)	17	10	21
Data completeness of:
7 Audit items for risk-adjustment (%)	71	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	188	1985	38604
Clinical Nurse Specialist (CNS) information recorded (%)	80	64	65
Seen by CNS if CNS record present (%)	95	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	127	1159	21702
Distant metastases (%)	6	7	7
Emergency surgery (%)	13	12	13
At least 12 lymph nodes excised (%)	56	41	53
Laparoscopic surgery attempted (%)	68	71	65
Risk-adjusted length of stay > 5 days (%)	46	57	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	76	594	12052
Adjuvant chemotherapy (%)	57	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	6	28	34
Rectal volume	29	285	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	120	1182	23317
APER/Hartmanns (%)	32	29	35