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

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic
• Complex vascular reconstruction
• Distal sacrectomy
• High 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	224	2347	38604
Data completeness of:
– Completed stage 1-4 (%)	76	81	82
– Performance status (%)	12	64	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	166	1426	21702
Performance status 0 (%)	10	39	50
Performance status 1 (%)	6	21	22
Performance status 2 (%)	2	6	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	81	33	21
Data completeness of:
7 Audit items for risk-adjustment (%)	16	54	87

All Patients:	Trust	Network	National
Number of patients in Audit	224	2347	38604
Clinical Nurse Specialist (CNS) information recorded (%)	60	63	65
Seen by CNS if CNS record present (%)	94	94	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	166	1426	21702
Distant metastases (%)	8	6	7
Emergency surgery (%)	14	13	13
At least 12 lymph nodes excised (%)	60	54	53
Laparoscopic surgery attempted (%)	70	77	65
Risk-adjusted length of stay > 5 days (%)	N/A	46	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	81	738	12052
Adjuvant chemotherapy (%)	38	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	31	24	34
Rectal volume	39	327	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	255	1626	23317
APER/Hartmanns (%)	51	38	35