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

• Surgical services:
• On-site hepatobiliary surgical team

• Support service facilities:
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	186	1501	30541
Case ascertainment (%)	93	95	93
Data completeness of:
– Pre-treatment TNM (%)	88	90	78
– Performance status (%)	90	92	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	113	919	19183
ASA grade 1 (%)	4	11	12
ASA grade 2 (%)	60	54	52
ASA grade 3 (%)	33	30	27
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	1	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	93	88	83

All Patients:	Trust	Network	National
Number of patients in Audit	186	1501	30424
Seen by Clinical Nurse Specialist (%)	90	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	113	919	19222
Distant metastases (%)	5	8	8
Urgent or emergency surgery (%)	11	17	17
At least 12 lymph nodes excised (%)	93	91	87
Laparoscopic surgery attempted (%)	39	57	66
Risk-adjusted length of stay > 5 days (%)	70	68	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	178	4503
Neoadjuvant therapy (%)	50	45	36
Circumferential resection margin: Present (%)	16	63	84
Circumferential resection margin: Negative (%)	10	54	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