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
• Routine Genetic Testing for Lynch Syndrome

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

• Advanced disease services:
• Distal sacrectomy
• Extended lymphadenectomy
• HIPEC/cytoreductive surgery

• 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	474	4253	38604
Data completeness of:
– Completed stage 1-4 (%)	70	81	82
– Performance status (%)	95	75	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	244	2462	21702
Performance status 0 (%)	47	48	50
Performance status 1 (%)	44	26	22
Performance status 2 (%)	6	6	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	2	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	70	65	87

All Patients:	Trust	Network	National
Number of patients in Audit	474	4253	38604
Clinical Nurse Specialist (CNS) information recorded (%)	78	65	65
Seen by CNS if CNS record present (%)	78	91	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	244	2462	21702
Distant metastases (%)	8	7	7
Emergency surgery (%)	13	11	13
At least 12 lymph nodes excised (%)	61	57	53
Laparoscopic surgery attempted (%)	73	73	65
Risk-adjusted length of stay > 5 days (%)	58	57	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	150	1372	12052
Adjuvant chemotherapy (%)	66	63	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	24	28	34
Rectal volume	77	546	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	287	2595	23317
APER/Hartmanns (%)	33	34	35