This trust offers the following services:

• Surgical services:
• On-site hepatobiliary surgical team

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• HIPEC/cytoreductive surgery

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

• Support service facilities:
• Dedicated nurses for ERAS services
• 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	406	1985	38604
Data completeness of:
– Completed stage 1-4 (%)	82	83	82
– Performance status (%)	81	86	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	276	1159	21702
Performance status 0 (%)	63	63	50
Performance status 1 (%)	18	21	22
Performance status 2 (%)	5	5	5
Performance status 3 (%)	4	1	1
Performance status 4 or not recorded (%)	10	10	21
Data completeness of:
7 Audit items for risk-adjustment (%)	64	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	406	1985	38604
Clinical Nurse Specialist (CNS) information recorded (%)	78	64	65
Seen by CNS if CNS record present (%)	93	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	276	1159	21702
Distant metastases (%)	12	7	7
Emergency surgery (%)	16	12	13
At least 12 lymph nodes excised (%)	36	41	53
Laparoscopic surgery attempted (%)	55	71	65
Risk-adjusted length of stay > 5 days (%)	61	57	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	128	594	12052
Adjuvant chemotherapy (%)	52	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	22	28	34
Rectal volume	44	285	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	232	1182	23317
APER/Hartmanns (%)	33	29	35