This trust offers the following services:

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	187	2116	38604
Data completeness of:
– Completed stage 1-4 (%)	94	75	82
– Performance status (%)	76	69	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	1037	21702
Performance status 0 (%)	60	52	50
Performance status 1 (%)	24	18	22
Performance status 2 (%)	N/A	3	5
Performance status 3 (%)	N/A	N/A	1
Performance status 4 or not recorded (%)	16	26	21
Data completeness of:
7 Audit items for risk-adjustment (%)	71	59	87

All Patients:	Trust	Network	National
Number of patients in Audit	187	2116	38604
Clinical Nurse Specialist (CNS) information recorded (%)	73	63	65
Seen by CNS if CNS record present (%)	99	93	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	1037	21702
Distant metastases (%)	6	6	7
Emergency surgery (%)	10	13	13
At least 12 lymph nodes excised (%)	60	58	53
Laparoscopic surgery attempted (%)	70	66	65
Risk-adjusted length of stay > 5 days (%)	34	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	55	648	12052
Adjuvant chemotherapy (%)	67	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	42	23	34
Rectal volume	17	265	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	99	1251	23317
APER/Hartmanns (%)	30	30	35