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

• Advanced disease services:
• Complex vascular reconstruction
• Distal 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	436	1226	38604
Data completeness of:
– Completed stage 1-4 (%)	82	78	82
– Performance status (%)	43	56	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	272	736	21702
Performance status 0 (%)	25	44	50
Performance status 1 (%)	15	13	22
Performance status 2 (%)	4	3	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	56	39	21
Data completeness of:
7 Audit items for risk-adjustment (%)	17	40	87

All Patients:	Trust	Network	National
Number of patients in Audit	436	1226	38604
Clinical Nurse Specialist (CNS) information recorded (%)	44	57	65
Seen by CNS if CNS record present (%)	97	85	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	272	736	21702
Distant metastases (%)	7	5	7
Emergency surgery (%)	17	15	13
At least 12 lymph nodes excised (%)	53	54	53
Laparoscopic surgery attempted (%)	78	68	65
Risk-adjusted length of stay > 5 days (%)	N/A	64	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	133	446	12052
Adjuvant chemotherapy (%)	53	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	30	20	34
Rectal volume	49	136	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	248	839	23317
APER/Hartmanns (%)	24	30	35