This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

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

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• 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	561	2116	38604
Data completeness of:
– Completed stage 1-4 (%)	82	75	82
– Performance status (%)	93	69	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	198	1037	21702
Performance status 0 (%)	60	52	50
Performance status 1 (%)	26	18	22
Performance status 2 (%)	10	3	5
Performance status 3 (%)	1	N/A	1
Performance status 4 or not recorded (%)	4	26	21
Data completeness of:
7 Audit items for risk-adjustment (%)	91	59	87

All Patients:	Trust	Network	National
Number of patients in Audit	561	2116	38604
Clinical Nurse Specialist (CNS) information recorded (%)	79	63	65
Seen by CNS if CNS record present (%)	100	93	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	198	1037	21702
Distant metastases (%)	5	6	7
Emergency surgery (%)	12	13	13
At least 12 lymph nodes excised (%)	88	58	53
Laparoscopic surgery attempted (%)	56	66	65
Risk-adjusted length of stay > 5 days (%)	50	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	193	648	12052
Adjuvant chemotherapy (%)	65	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	8	23	34
Rectal volume	61	265	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	359	1251	23317
APER/Hartmanns (%)	27	30	35