This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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

• Surgical services:
• 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	279	1895	28013
Case ascertainment (%)	104	95	93
Data completeness of:
– Pre-treatment TNM (%)	73	74	71
– Performance status (%)	64	76	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	1267	18809
ASA grade 1 (%)	17	9	14
ASA grade 2 (%)	44	49	53
ASA grade 3 (%)	29	35	25
ASA grade 4+ (%)	4	5	3
ASA grade not recorded (%)	5	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	93	89	82

All Patients:	Trust	Network	National
Number of patients in Audit	279	1895	30122
Seen by Clinical Nurse Specialist (%)	95	92	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	1267	18809
Distant metastases (%)	8	9	9
Urgent or emergency surgery (%)	12	18	16
Median number of lymph nodes excised	19	17	17
Laparoscopic surgery attempted (%)	83	75	61
Length of stay > 5 days (%)	56	64	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	54	324	4769
Neoadjuvant therapy (%)	41	36	37
Circumferential resection margin: Recorded (%)	6	11	25
Circumferential resection margin: Positive (%)	6	6	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