This trust offers the following services:

• 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 thoracic surgical team
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	177	662	38604
Data completeness of:
– Completed stage 1-4 (%)	57	59	82
– Performance status (%)	10	28	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	178	385	21702
Performance status 0 (%)	15	15	50
Performance status 1 (%)	13	11	22
Performance status 2 (%)	4	3	5
Performance status 3 (%)	1	1	1
Performance status 4 or not recorded (%)	68	69	21
Data completeness of:
7 Audit items for risk-adjustment (%)	24	21	87

All Patients:	Trust	Network	National
Number of patients in Audit	177	662	38604
Clinical Nurse Specialist (CNS) information recorded (%)	7	38	65
Seen by CNS if CNS record present (%)	92	96	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	178	385	21702
Distant metastases (%)	3	6	7
Emergency surgery (%)	11	16	13
At least 12 lymph nodes excised (%)	14	32	53
Laparoscopic surgery attempted (%)	67	57	65
Risk-adjusted length of stay > 5 days (%)	58	64	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	86	208	12052
Adjuvant chemotherapy (%)	66	61	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	21	30	34
Rectal volume	47	81	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	139	346	23317
APER/Hartmanns (%)	16	26	35