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

• Surgical services:
• On-site hepatobiliary surgical team

All Patients:	Trust	Network	National
Number of patients in Audit	168	2626	28013
Case ascertainment (%)	107	98	93
Data completeness of:
– Pre-treatment TNM (%)	80	80	71
– Performance status (%)	100	88	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	1599	18809
ASA grade 1 (%)	45	14	14
ASA grade 2 (%)	41	53	53
ASA grade 3 (%)	14	29	25
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	N/A	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	91	82

All Patients:	Trust	Network	National
Number of patients in Audit	168	2626	30122
Seen by Clinical Nurse Specialist (%)	100	94	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	1599	18809
Distant metastases (%)	19	10	9
Urgent or emergency surgery (%)	21	16	16
Median number of lymph nodes excised	15	15	17
Laparoscopic surgery attempted (%)	30	53	61
Length of stay > 5 days (%)	86	78	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	387	4769
Neoadjuvant therapy (%)	67	63	37
Circumferential resection margin: Recorded (%)	N/A	26	25
Circumferential resection margin: Positive (%)	27	6	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