This trust offers the following services:

• Diagnostic and pre-operative services:
• 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

• Advanced disease services:
• Dedicated Specialist Advanced MDT
• Distal sacrectomy
• Extended lymphadenectomy

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	281	2116	38604
Data completeness of:
– Completed stage 1-4 (%)	78	75	82
– Performance status (%)	88	69	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	144	1037	21702
Performance status 0 (%)	87	52	50
Performance status 1 (%)	10	18	22
Performance status 2 (%)	N/A	3	5
Performance status 3 (%)	N/A	N/A	1
Performance status 4 or not recorded (%)	3	26	21
Data completeness of:
7 Audit items for risk-adjustment (%)	90	59	87

All Patients:	Trust	Network	National
Number of patients in Audit	281	2116	38604
Clinical Nurse Specialist (CNS) information recorded (%)	40	63	65
Seen by CNS if CNS record present (%)	88	93	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	144	1037	21702
Distant metastases (%)	6	6	7
Emergency surgery (%)	14	13	13
At least 12 lymph nodes excised (%)	49	58	53
Laparoscopic surgery attempted (%)	65	66	65
Risk-adjusted length of stay > 5 days (%)	65	52	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	63	648	12052
Adjuvant chemotherapy (%)	73	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	34	23	34
Rectal volume	33	265	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	165	1251	23317
APER/Hartmanns (%)	30	30	35