This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy 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	231	1696	30710
Case ascertainment (%)	88	101	95
Data completeness of:
– Pre-treatment TNM (%)	95	60	76
– Performance status (%)	82	94	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	1011	19231
ASA grade 1 (%)	10	10	12
ASA grade 2 (%)	53	55	53
ASA grade 3 (%)	31	28	27
ASA grade 4+ (%)	4	2	3
ASA grade not recorded (%)	2	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	97	89	81

All Patients:	Trust	Network	National
Number of patients in Audit	231	1696	30710
Seen by Clinical Nurse Specialist (%)	92	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	180	1011	19231
Distant metastases (%)	4	7	9
Urgent or emergency surgery (%)	17	15	16
At least 12 lymph nodes excised (%)	94	89	84
Laparoscopic surgery attempted (%)	78	71	63
Risk-adjusted length of stay > 5 days (%)	60	59	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	48	236	4468
Neoadjuvant therapy (%)	22	22	35
Circumferential resection margin: Recorded (%)	77	33	26
Circumferential resection margin: Positive (%)	N/A	3	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