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:
• Robotic surgery

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	454	1985	38604
Data completeness of:
– Completed stage 1-4 (%)	90	83	82
– Performance status (%)	91	86	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	231	1159	21702
Performance status 0 (%)	61	63	50
Performance status 1 (%)	30	21	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 (%)	83	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	454	1985	38604
Clinical Nurse Specialist (CNS) information recorded (%)	58	64	65
Seen by CNS if CNS record present (%)	94	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	231	1159	21702
Distant metastases (%)	5	7	7
Emergency surgery (%)	13	12	13
At least 12 lymph nodes excised (%)	47	41	53
Laparoscopic surgery attempted (%)	80	71	65
Risk-adjusted length of stay > 5 days (%)	52	57	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	134	594	12052
Adjuvant chemotherapy (%)	55	59	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	25	28	34
Rectal volume	53	285	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	211	1182	23317
APER/Hartmanns (%)	27	29	35