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	244	852	30710
Case ascertainment (%)	103	101	95
Data completeness of:
– Pre-treatment TNM (%)	77	75	76
– Performance status (%)	94	93	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	183	566	19231
ASA grade 1 (%)	4	10	12
ASA grade 2 (%)	31	32	53
ASA grade 3 (%)	30	27	27
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	32	30	6
Data completeness of:
7 Audit items for risk-adjustment (%)	63	64	81

All Patients:	Trust	Network	National
Number of patients in Audit	244	852	30710
Seen by Clinical Nurse Specialist (%)	93	97	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	183	566	19231
Distant metastases (%)	10	8	9
Urgent or emergency surgery (%)	5	10	16
At least 12 lymph nodes excised (%)	82	81	84
Laparoscopic surgery attempted (%)	44	38	63
Risk-adjusted length of stay > 5 days (%)	88	80	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	41	124	4468
Neoadjuvant therapy (%)	38	46	35
Circumferential resection margin: Recorded (%)	88	38	26
Circumferential resection margin: Positive (%)	N/A	15	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