This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• On-site thoracic surgical team

• 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	237	913	30710
Case ascertainment (%)	113	99	95
Data completeness of:
– Pre-treatment TNM (%)	93	88	76
– Performance status (%)	97	89	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	509	19231
ASA grade 1 (%)	11	17	12
ASA grade 2 (%)	65	48	53
ASA grade 3 (%)	15	27	27
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	8	6	6
Data completeness of:
7 Audit items for risk-adjustment (%)	83	89	81

All Patients:	Trust	Network	National
Number of patients in Audit	237	913	30710
Seen by Clinical Nurse Specialist (%)	99	95	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	509	19231
Distant metastases (%)	4	6	9
Urgent or emergency surgery (%)	10	14	16
At least 12 lymph nodes excised (%)	62	69	84
Laparoscopic surgery attempted (%)	70	56	63
Risk-adjusted length of stay > 5 days (%)	71	79	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	110	4468
Neoadjuvant therapy (%)	42	38	35
Circumferential resection margin: Recorded (%)	100	69	26
Circumferential resection margin: Positive (%)	N/A	3	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