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 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
• Extended lymphadenectomy

• Support service facilities:
• 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	266	3	38604
Data completeness of:
– Completed stage 1-4 (%)	95	89	82
– Performance status (%)	87	85	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	137	2312	21702
Performance status 0 (%)	72	65	50
Performance status 1 (%)	18	19	22
Performance status 2 (%)	4	5	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	5	10	21
Data completeness of:
7 Audit items for risk-adjustment (%)	82	73	87

All Patients:	Trust	Network	National
Number of patients in Audit	266	3815	38604
Clinical Nurse Specialist (CNS) information recorded (%)	80	76	65
Seen by CNS if CNS record present (%)	95	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	137	2312	21702
Distant metastases (%)	9	9	7
Emergency surgery (%)	14	16	13
At least 12 lymph nodes excised (%)	68	53	53
Laparoscopic surgery attempted (%)	76	68	65
Risk-adjusted length of stay > 5 days (%)	64	56	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	76	1328	12052
Adjuvant chemotherapy (%)	75	69	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	24	33	34
Rectal volume	37	483	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	176	2603	23317
APER/Hartmanns (%)	40	36	35