This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy 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	237	3629	30710
Case ascertainment (%)	100	101	95
Data completeness of:
– Pre-treatment TNM (%)	78	81	76
– Performance status (%)	97	86	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	2094	19231
ASA grade 1 (%)	6	9	12
ASA grade 2 (%)	28	52	53
ASA grade 3 (%)	16	30	27
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	50	7	6
Data completeness of:
7 Audit items for risk-adjustment (%)	48	74	81

All Patients:	Trust	Network	National
Number of patients in Audit	237	3629	30710
Seen by Clinical Nurse Specialist (%)	100	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	2094	19231
Distant metastases (%)	4	8	9
Urgent or emergency surgery (%)	20	17	16
At least 12 lymph nodes excised (%)	77	85	84
Laparoscopic surgery attempted (%)	56	64	63
Risk-adjusted length of stay > 5 days (%)	72	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	468	4468
Neoadjuvant therapy (%)	24	33	35
Circumferential resection margin: Recorded (%)	N/A	23	26
Circumferential resection margin: Positive (%)	14	5	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