This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver 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	186	3629	30710
Case ascertainment (%)	104	101	95
Data completeness of:
– Pre-treatment TNM (%)	63	81	76
– Performance status (%)	100	86	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	113	2094	19231
ASA grade 1 (%)	8	9	12
ASA grade 2 (%)	35	52	53
ASA grade 3 (%)	35	30	27
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	19	7	6
Data completeness of:
7 Audit items for risk-adjustment (%)	4	74	81

All Patients:	Trust	Network	National
Number of patients in Audit	186	3629	30710
Seen by Clinical Nurse Specialist (%)	99	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	113	2094	19231
Distant metastases (%)	N/A	8	9
Urgent or emergency surgery (%)	14	17	16
At least 12 lymph nodes excised (%)	99	85	84
Laparoscopic surgery attempted (%)	87	64	63
Risk-adjusted length of stay > 5 days (%)	N/A	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	468	4468
Neoadjuvant therapy (%)	32	33	35
Circumferential resection margin: Recorded (%)	100	23	26
Circumferential resection margin: Positive (%)	N/A	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