This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	255	1709	30541
Case ascertainment (%)	123	104	93
Data completeness of:
– Pre-treatment TNM (%)	97	86	78
– Performance status (%)	99	96	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	139	1081	19183
ASA grade 1 (%)	14	10	12
ASA grade 2 (%)	51	59	52
ASA grade 3 (%)	30	27	27
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	3	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	91	83

All Patients:	Trust	Network	National
Number of patients in Audit	255	1709	30424
Seen by Clinical Nurse Specialist (%)	95	95	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	139	1081	19222
Distant metastases (%)	9	6	8
Urgent or emergency surgery (%)	13	14	17
At least 12 lymph nodes excised (%)	90	93	87
Laparoscopic surgery attempted (%)	96	77	66
Risk-adjusted length of stay > 5 days (%)	42	52	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	272	4503
Neoadjuvant therapy (%)	38	31	36
Circumferential resection margin: Present (%)	98	85	84
Circumferential resection margin: Negative (%)	89	80	77
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