This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site MRI liver 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	133	1633	30710
Case ascertainment (%)	100	106	95
Data completeness of:
– Pre-treatment TNM (%)	89	83	76
– Performance status (%)	100	82	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	91	991	19231
ASA grade 1 (%)	15	10	12
ASA grade 2 (%)	43	59	53
ASA grade 3 (%)	35	25	27
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	7	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	82	92	81

All Patients:	Trust	Network	National
Number of patients in Audit	133	1633	30710
Seen by Clinical Nurse Specialist (%)	95	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	91	991	19231
Distant metastases (%)	5	7	9
Urgent or emergency surgery (%)	21	13	16
At least 12 lymph nodes excised (%)	89	83	84
Laparoscopic surgery attempted (%)	69	73	63
Risk-adjusted length of stay > 5 days (%)	61	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	257	4468
Neoadjuvant therapy (%)	4	26	35
Circumferential resection margin: Recorded (%)	100	27	26
Circumferential resection margin: Positive (%)	N/A	12	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