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

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	279	1079	38604
Data completeness of:
– Completed stage 1-4 (%)	93	91	82
– Performance status (%)	97	80	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	156	588	21702
Performance status 0 (%)	40	46	50
Performance status 1 (%)	38	25	22
Performance status 2 (%)	12	7	5
Performance status 3 (%)	7	3	1
Performance status 4 or not recorded (%)	3	19	21
Data completeness of:
7 Audit items for risk-adjustment (%)	78	68	87

All Patients:	Trust	Network	National
Number of patients in Audit	279	1079	38604
Clinical Nurse Specialist (CNS) information recorded (%)	85	79	65
Seen by CNS if CNS record present (%)	100	97	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	156	588	21702
Distant metastases (%)	7	7	7
Emergency surgery (%)	15	13	13
At least 12 lymph nodes excised (%)	57	60	53
Laparoscopic surgery attempted (%)	35	47	65
Risk-adjusted length of stay > 5 days (%)	64	70	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	102	358	12052
Adjuvant chemotherapy (%)	69	72	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	39	42	34
Rectal volume	29	145	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	189	706	23317
APER/Hartmanns (%)	35	38	35