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

• 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	348	1364	30710
Case ascertainment (%)	88	102	95
Data completeness of:
– Pre-treatment TNM (%)	56	83	76
– Performance status (%)	39	64	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	250	865	19231
ASA grade 1 (%)	14	25	12
ASA grade 2 (%)	44	40	53
ASA grade 3 (%)	35	22	27
ASA grade 4+ (%)	4	2	3
ASA grade not recorded (%)	3	11	6
Data completeness of:
7 Audit items for risk-adjustment (%)	55	62	81

All Patients:	Trust	Network	National
Number of patients in Audit	348	1364	30710
Seen by Clinical Nurse Specialist (%)	82	78	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	250	865	19231
Distant metastases (%)	16	12	9
Urgent or emergency surgery (%)	16	11	16
At least 12 lymph nodes excised (%)	78	84	84
Laparoscopic surgery attempted (%)	78	72	63
Risk-adjusted length of stay > 5 days (%)	72	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	58	215	4468
Neoadjuvant therapy (%)	56	55	35
Circumferential resection margin: Recorded (%)	5	10	26
Circumferential resection margin: Positive (%)	19	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