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
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

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

• 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	291	3008	28013
Case ascertainment (%)	92	94	93
Data completeness of:
– Pre-treatment TNM (%)	85	71	71
– Performance status (%)	42	77	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	212	1893	18809
ASA grade 1 (%)	11	20	14
ASA grade 2 (%)	49	52	53
ASA grade 3 (%)	33	22	25
ASA grade 4+ (%)	7	3	3
ASA grade not recorded (%)	N/A	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	95	85	82

All Patients:	Trust	Network	National
Number of patients in Audit	291	3008	30122
Seen by Clinical Nurse Specialist (%)	70	82	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	212	1893	18809
Distant metastases (%)	11	7	9
Urgent or emergency surgery (%)	15	12	16
Median number of lymph nodes excised	18	18	17
Laparoscopic surgery attempted (%)	76	55	61
Length of stay > 5 days (%)	77	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	56	498	4769
Neoadjuvant therapy (%)	73	51	37
Circumferential resection margin: Recorded (%)	9	23	25
Circumferential resection margin: Positive (%)	11	8	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