This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• Routine Genetic Testing for Lynch Syndrome

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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• 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	193	1667	38604
Data completeness of:
– Completed stage 1-4 (%)	92	82	82
– Performance status (%)	30	50	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	965	21702
Performance status 0 (%)	17	33	50
Performance status 1 (%)	8	18	22
Performance status 2 (%)	N/A	2	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	75	45	21
Data completeness of:
7 Audit items for risk-adjustment (%)	17	40	87

All Patients:	Trust	Network	National
Number of patients in Audit	193	1667	38604
Clinical Nurse Specialist (CNS) information recorded (%)	68	59	65
Seen by CNS if CNS record present (%)	99	98	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	965	21702
Distant metastases (%)	6	7	7
Emergency surgery (%)	7	12	13
At least 12 lymph nodes excised (%)	52	49	53
Laparoscopic surgery attempted (%)	65	62	65
Risk-adjusted length of stay > 5 days (%)	N/A	74	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	49	555	12052
Adjuvant chemotherapy (%)	63	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	53	42	34
Rectal volume	17	236	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	102	1149	23317
APER/Hartmanns (%)	18	31	35