This trust offers the following services:

• 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

• 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	177	3150	28013
Case ascertainment (%)	104	97	93
Data completeness of:
– Pre-treatment TNM (%)	79	54	71
– Performance status (%)	93	64	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	1907	18809
ASA grade 1 (%)	12	10	14
ASA grade 2 (%)	49	53	53
ASA grade 3 (%)	17	24	25
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	20	9	5
Data completeness of:
7 Audit items for risk-adjustment (%)	41	70	82

All Patients:	Trust	Network	National
Number of patients in Audit	177	3150	30122
Seen by Clinical Nurse Specialist (%)	98	87	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	1907	18809
Distant metastases (%)	9	10	9
Urgent or emergency surgery (%)	18	17	16
Median number of lymph nodes excised	22	16	17
Laparoscopic surgery attempted (%)	63	59	61
Length of stay > 5 days (%)	68	71	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	483	4769
Neoadjuvant therapy (%)	22	26	37
Circumferential resection margin: Recorded (%)	12	28	25
Circumferential resection margin: Positive (%)	N/A	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