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:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	272	3008	28013
Case ascertainment (%)	90	94	93
Data completeness of:
– Pre-treatment TNM (%)	83	71	71
– Performance status (%)	100	77	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	174	1893	18809
ASA grade 1 (%)	10	20	14
ASA grade 2 (%)	60	52	53
ASA grade 3 (%)	28	22	25
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	N/A	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	98	85	82

All Patients:	Trust	Network	National
Number of patients in Audit	272	3008	30122
Seen by Clinical Nurse Specialist (%)	86	82	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	174	1893	18809
Distant metastases (%)	7	7	9
Urgent or emergency surgery (%)	12	12	16
Median number of lymph nodes excised	27	18	17
Laparoscopic surgery attempted (%)	44	55	61
Length of stay > 5 days (%)	69	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	41	498	4769
Neoadjuvant therapy (%)	50	51	37
Circumferential resection margin: Recorded (%)	2	23	25
Circumferential resection margin: Positive (%)	12	8	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