This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site thoracic surgical team

• 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	112	550	30710
Case ascertainment (%)	57	75	95
Data completeness of:
– Pre-treatment TNM (%)	31	86	76
– Performance status (%)	12	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	377	19231
ASA grade 1 (%)	6	14	12
ASA grade 2 (%)	39	53	53
ASA grade 3 (%)	20	21	27
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	33	9	6
Data completeness of:
7 Audit items for risk-adjustment (%)	29	80	81

All Patients:	Trust	Network	National
Number of patients in Audit	112	550	30710
Seen by Clinical Nurse Specialist (%)	100	99	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	377	19231
Distant metastases (%)	18	6	9
Urgent or emergency surgery (%)	12	12	16
At least 12 lymph nodes excised (%)	82	86	84
Laparoscopic surgery attempted (%)	55	62	63
Risk-adjusted length of stay > 5 days (%)	73	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	77	4468
Neoadjuvant therapy (%)	53	44	35
Circumferential resection margin: Recorded (%)	N/A	N/A	26
Circumferential resection margin: Positive (%)	18	10	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