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

• 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	390	2005	30710
Case ascertainment (%)	108	96	95
Data completeness of:
– Pre-treatment TNM (%)	90	86	76
– Performance status (%)	99	68	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	201	1253	19231
ASA grade 1 (%)	4	11	12
ASA grade 2 (%)	66	56	53
ASA grade 3 (%)	26	28	27
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	N/A	2	6
Data completeness of:
7 Audit items for risk-adjustment (%)	100	85	81

All Patients:	Trust	Network	National
Number of patients in Audit	390	2005	30710
Seen by Clinical Nurse Specialist (%)	82	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	201	1253	19231
Distant metastases (%)	7	10	9
Urgent or emergency surgery (%)	22	18	16
At least 12 lymph nodes excised (%)	70	78	84
Laparoscopic surgery attempted (%)	76	57	63
Risk-adjusted length of stay > 5 days (%)	56	66	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	53	331	4468
Neoadjuvant therapy (%)	25	42	35
Circumferential resection margin: Recorded (%)	N/A	7	26
Circumferential resection margin: Positive (%)	2	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