This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Complex vascular reconstruction
• Distal sacrectomy
• High sacrectomy
• Extended lymphadenectomy

• 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	213	1796	38604
Data completeness of:
– Completed stage 1-4 (%)	20	81	82
– Performance status (%)	13	75	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	137	930	21702
Performance status 0 (%)	12	47	50
Performance status 1 (%)	19	24	22
Performance status 2 (%)	3	7	5
Performance status 3 (%)	N/A	2	1
Performance status 4 or not recorded (%)	66	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	10	60	87

All Patients:	Trust	Network	National
Number of patients in Audit	213	1796	38604
Clinical Nurse Specialist (CNS) information recorded (%)	1	62	65
Seen by CNS if CNS record present (%)	67	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	137	930	21702
Distant metastases (%)	10	10	7
Emergency surgery (%)	18	17	13
At least 12 lymph nodes excised (%)	39	46	53
Laparoscopic surgery attempted (%)	68	52	65
Risk-adjusted length of stay > 5 days (%)	N/A	62	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	84	540	12052
Adjuvant chemotherapy (%)	63	63	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	41	47	34
Rectal volume	38	230	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	241	1011	23317
APER/Hartmanns (%)	37	40	35