This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• Diagnostic and pre-operative services:
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Surgical services:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	589	2754	38604
Data completeness of:
– Completed stage 1-4 (%)	75	81	82
– Performance status (%)	79	77	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	319	1486	21702
Performance status 0 (%)	41	50	50
Performance status 1 (%)	36	25	22
Performance status 2 (%)	8	6	5
Performance status 3 (%)	2	1	1
Performance status 4 or not recorded (%)	13	18	21
Data completeness of:
7 Audit items for risk-adjustment (%)	69	56	87

All Patients:	Trust	Network	National
Number of patients in Audit	589	2754	38604
Clinical Nurse Specialist (CNS) information recorded (%)	70	54	65
Seen by CNS if CNS record present (%)	97	97	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	319	1486	21702
Distant metastases (%)	6	8	7
Emergency surgery (%)	15	15	13
At least 12 lymph nodes excised (%)	45	46	53
Laparoscopic surgery attempted (%)	67	67	65
Risk-adjusted length of stay > 5 days (%)	64	59	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	165	769	12052
Adjuvant chemotherapy (%)	65	64	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	35	44	34
Rectal volume	67	342	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	257	1644	23317
APER/Hartmanns (%)	38	41	35