This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

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

• Surgical services:
• On-site hepatobiliary surgical team
• 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	102	550	30710
Case ascertainment (%)	59	75	95
Data completeness of:
– Pre-treatment TNM (%)	83	86	76
– Performance status (%)	95	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	61	377	19231
ASA grade 1 (%)	21	14	12
ASA grade 2 (%)	44	53	53
ASA grade 3 (%)	30	21	27
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	2	9	6
Data completeness of:
7 Audit items for risk-adjustment (%)	93	80	81

All Patients:	Trust	Network	National
Number of patients in Audit	102	550	30710
Seen by Clinical Nurse Specialist (%)	97	99	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	377	19231
Distant metastases (%)	3	6	9
Urgent or emergency surgery (%)	18	12	16
At least 12 lymph nodes excised (%)	88	86	84
Laparoscopic surgery attempted (%)	58	62	63
Risk-adjusted length of stay > 5 days (%)	65	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	77	4468
Neoadjuvant therapy (%)	N/A	44	35
Circumferential resection margin: Recorded (%)	N/A	N/A	26
Circumferential resection margin: Positive (%)	4	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