This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

All Patients:	Trust	Network	National
Number of patients in Audit	284	2135	28013
Case ascertainment (%)	91	91	93
Data completeness of:
– Pre-treatment TNM (%)	99	65	71
– Performance status (%)	100	64	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	244	1304	18809
ASA grade 1 (%)	N/A	13	14
ASA grade 2 (%)	67	59	53
ASA grade 3 (%)	25	22	25
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	4	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	96	87	82

All Patients:	Trust	Network	National
Number of patients in Audit	284	2135	30122
Seen by Clinical Nurse Specialist (%)	88	92	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	244	1304	18809
Distant metastases (%)	10	10	9
Urgent or emergency surgery (%)	20	18	16
Median number of lymph nodes excised	15	16	17
Laparoscopic surgery attempted (%)	70	53	61
Length of stay > 5 days (%)	66	66	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	75	380	4769
Neoadjuvant therapy (%)	23	43	37
Circumferential resection margin: Recorded (%)	7	5	25
Circumferential resection margin: Positive (%)	4	7	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