This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

• 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	240	1015	30710
Case ascertainment (%)	109	96	95
Data completeness of:
– Pre-treatment TNM (%)	97	82	76
– Performance status (%)	100	93	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	679	19231
ASA grade 1 (%)	25	16	12
ASA grade 2 (%)	52	54	53
ASA grade 3 (%)	21	24	27
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	N/A	3	6
Data completeness of:
7 Audit items for risk-adjustment (%)	99	93	81

All Patients:	Trust	Network	National
Number of patients in Audit	240	1015	30710
Seen by Clinical Nurse Specialist (%)	97	96	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	157	679	19231
Distant metastases (%)	10	7	9
Urgent or emergency surgery (%)	18	17	16
At least 12 lymph nodes excised (%)	92	92	84
Laparoscopic surgery attempted (%)	72	69	63
Risk-adjusted length of stay > 5 days (%)	61	68	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	30	146	4468
Neoadjuvant therapy (%)	34	22	35
Circumferential resection margin: Recorded (%)	N/A	16	26
Circumferential resection margin: Positive (%)	10	11	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