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 Nurse

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	490	3	38604
Data completeness of:
– Completed stage 1-4 (%)	93	89	82
– Performance status (%)	95	85	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	280	2312	21702
Performance status 0 (%)	80	65	50
Performance status 1 (%)	14	19	22
Performance status 2 (%)	4	5	5
Performance status 3 (%)	N/A	1	1
Performance status 4 or not recorded (%)	3	10	21
Data completeness of:
7 Audit items for risk-adjustment (%)	83	73	87

All Patients:	Trust	Network	National
Number of patients in Audit	490	3815	38604
Clinical Nurse Specialist (CNS) information recorded (%)	57	76	65
Seen by CNS if CNS record present (%)	94	95	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	280	2312	21702
Distant metastases (%)	10	9	7
Emergency surgery (%)	11	16	13
At least 12 lymph nodes excised (%)	41	53	53
Laparoscopic surgery attempted (%)	86	68	65
Risk-adjusted length of stay > 5 days (%)	52	56	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	164	1328	12052
Adjuvant chemotherapy (%)	66	69	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	19	33	34
Rectal volume	65	483	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	301	2603	23317
APER/Hartmanns (%)	39	36	35