This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT 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

All Patients:	Trust	Network	National
Number of patients in Audit	246	4253	38604
Data completeness of:
– Completed stage 1-4 (%)	88	81	82
– Performance status (%)	91	75	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	153	2462	21702
Performance status 0 (%)	56	48	50
Performance status 1 (%)	25	26	22
Performance status 2 (%)	9	6	5
Performance status 3 (%)	5	1	1
Performance status 4 or not recorded (%)	5	20	21
Data completeness of:
7 Audit items for risk-adjustment (%)	82	65	87

All Patients:	Trust	Network	National
Number of patients in Audit	246	4253	38604
Clinical Nurse Specialist (CNS) information recorded (%)	83	65	65
Seen by CNS if CNS record present (%)	100	91	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	153	2462	21702
Distant metastases (%)	5	7	7
Emergency surgery (%)	13	11	13
At least 12 lymph nodes excised (%)	65	57	53
Laparoscopic surgery attempted (%)	65	73	65
Risk-adjusted length of stay > 5 days (%)	48	57	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	80	1372	12052
Adjuvant chemotherapy (%)	51	63	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	25	28	34
Rectal volume	38	546	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	200	2595	23317
APER/Hartmanns (%)	34	34	35