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	127	3629	30710
Case ascertainment (%)	128	101	95
Data completeness of:
– Pre-treatment TNM (%)	77	81	76
– Performance status (%)	96	86	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	70	2094	19231
ASA grade 1 (%)	6	9	12
ASA grade 2 (%)	57	52	53
ASA grade 3 (%)	27	30	27
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	6	7	6
Data completeness of:
7 Audit items for risk-adjustment (%)	83	74	81

All Patients:	Trust	Network	National
Number of patients in Audit	127	3629	30710
Seen by Clinical Nurse Specialist (%)	87	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	70	2094	19231
Distant metastases (%)	14	8	9
Urgent or emergency surgery (%)	11	17	16
At least 12 lymph nodes excised (%)	91	85	84
Laparoscopic surgery attempted (%)	84	64	63
Risk-adjusted length of stay > 5 days (%)	60	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	468	4468
Neoadjuvant therapy (%)	33	33	35
Circumferential resection margin: Recorded (%)	14	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