This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy 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	242	550	30710
Case ascertainment (%)	101	75	95
Data completeness of:
– Pre-treatment TNM (%)	90	86	76
– Performance status (%)	98	80	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	377	19231
ASA grade 1 (%)	13	14	12
ASA grade 2 (%)	64	53	53
ASA grade 3 (%)	20	21	27
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	N/A	9	6
Data completeness of:
7 Audit items for risk-adjustment (%)	100	80	81

All Patients:	Trust	Network	National
Number of patients in Audit	242	550	30710
Seen by Clinical Nurse Specialist (%)	100	99	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	61	377	19231
Distant metastases (%)	3	6	9
Urgent or emergency surgery (%)	2	12	16
At least 12 lymph nodes excised (%)	79	86	84
Laparoscopic surgery attempted (%)	63	62	63
Risk-adjusted length of stay > 5 days (%)	41	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	77	4468
Neoadjuvant therapy (%)	63	44	35
Circumferential resection margin: Recorded (%)	N/A	N/A	26
Circumferential resection margin: Positive (%)	7	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