This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• Diagnostic and pre-operative services:
• On-site MRI liver facilities

• Oncology services:
• On-site chemotherapy services

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	135	1432	30541
Case ascertainment (%)	82	92	93
Data completeness of:
– Pre-treatment TNM (%)	92	75	78
– Performance status (%)	98	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	938	19183
ASA grade 1 (%)	6	10	12
ASA grade 2 (%)	50	55	52
ASA grade 3 (%)	30	29	27
ASA grade 4+ (%)	7	2	2
ASA grade not recorded (%)	7	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	87	89	83

All Patients:	Trust	Network	National
Number of patients in Audit	135	1432	30424
Seen by Clinical Nurse Specialist (%)	95	97	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	938	19222
Distant metastases (%)	3	9	8
Urgent or emergency surgery (%)	21	16	17
At least 12 lymph nodes excised (%)	53	81	87
Laparoscopic surgery attempted (%)	36	55	66
Risk-adjusted length of stay > 5 days (%)	74	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	173	4503
Neoadjuvant therapy (%)	81	58	36
Circumferential resection margin: Present (%)	71	88	84
Circumferential resection margin: Negative (%)	52	74	77
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