This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	108	1105	30541
Case ascertainment (%)	46	94	93
Data completeness of:
– Pre-treatment TNM (%)	94	87	78
– Performance status (%)	82	64	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	77	677	19183
ASA grade 1 (%)	6	23	12
ASA grade 2 (%)	58	53	52
ASA grade 3 (%)	31	22	27
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	3	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	94	96	83

All Patients:	Trust	Network	National
Number of patients in Audit	108	1105	30424
Seen by Clinical Nurse Specialist (%)	98	98	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	77	677	19222
Distant metastases (%)	7	5	8
Urgent or emergency surgery (%)	26	18	17
At least 12 lymph nodes excised (%)	97	79	87
Laparoscopic surgery attempted (%)	42	67	66
Risk-adjusted length of stay > 5 days (%)	65	53	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	149	4503
Neoadjuvant therapy (%)	47	25	36
Circumferential resection margin: Present (%)	91	94	84
Circumferential resection margin: Negative (%)	73	88	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