This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• Diagnostic and pre-operative services:
• 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

• 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	430	2347	38604
Data completeness of:
– Completed stage 1-4 (%)	86	81	82
– Performance status (%)	67	64	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	218	1426	21702
Performance status 0 (%)	50	39	50
Performance status 1 (%)	25	21	22
Performance status 2 (%)	4	6	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	20	33	21
Data completeness of:
7 Audit items for risk-adjustment (%)	74	54	87

All Patients:	Trust	Network	National
Number of patients in Audit	430	2347	38604
Clinical Nurse Specialist (CNS) information recorded (%)	41	63	65
Seen by CNS if CNS record present (%)	96	94	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	218	1426	21702
Distant metastases (%)	7	6	7
Emergency surgery (%)	12	13	13
At least 12 lymph nodes excised (%)	48	54	53
Laparoscopic surgery attempted (%)	75	77	65
Risk-adjusted length of stay > 5 days (%)	42	46	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	112	738	12052
Adjuvant chemotherapy (%)	69	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	10	24	34
Rectal volume	52	327	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	222	1626	23317
APER/Hartmanns (%)	34	38	35