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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	171	2248	28013
Case ascertainment (%)	93	85	93
Data completeness of:
– Pre-treatment TNM (%)	84	71	71
– Performance status (%)	93	84	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	1439	18809
ASA grade 1 (%)	19	15	14
ASA grade 2 (%)	59	57	53
ASA grade 3 (%)	20	22	25
ASA grade 4+ (%)	2	2	3
ASA grade not recorded (%)	N/A	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	82	87	82

All Patients:	Trust	Network	National
Number of patients in Audit	171	2248	30122
Seen by Clinical Nurse Specialist (%)	96	84	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	1439	18809
Distant metastases (%)	12	9	9
Urgent or emergency surgery (%)	11	15	16
Median number of lymph nodes excised	20	18	17
Laparoscopic surgery attempted (%)	72	62	61
Length of stay > 5 days (%)	62	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	316	4769
Neoadjuvant therapy (%)	26	29	37
Circumferential resection margin: Recorded (%)	N/A	32	25
Circumferential resection margin: Positive (%)	7	5	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