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 MRI liver facilities
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

All Patients:	Trust	Network	National
Number of patients in Audit	262	1222	28013
Case ascertainment (%)	89	92	93
Data completeness of:
– Pre-treatment TNM (%)	81	82	71
– Performance status (%)	68	92	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	146	759	18809
ASA grade 1 (%)	21	19	14
ASA grade 2 (%)	51	46	53
ASA grade 3 (%)	17	23	25
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	11	11	5
Data completeness of:
7 Audit items for risk-adjustment (%)	82	77	82

All Patients:	Trust	Network	National
Number of patients in Audit	262	1222	30122
Seen by Clinical Nurse Specialist (%)	96	98	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	146	759	18809
Distant metastases (%)	6	9	9
Urgent or emergency surgery (%)	30	24	16
Median number of lymph nodes excised	18	17	17
Laparoscopic surgery attempted (%)	81	61	61
Length of stay > 5 days (%)	85	81	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	35	170	4769
Neoadjuvant therapy (%)	27	40	37
Circumferential resection margin: Recorded (%)	3	23	25
Circumferential resection margin: Positive (%)	17	7	7
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	N/A	N/A	N/A
APER/Hartmanns (%)	N/A	N/A	N/A