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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site hepatobiliary 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	N/A	1468	30710
Case ascertainment (%)	N/A	99	95
Data completeness of:
– Pre-treatment TNM (%)	N/A	62	76
– Performance status (%)	N/A	88	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	906	19231
ASA grade 1 (%)	17	13	12
ASA grade 2 (%)	64	52	53
ASA grade 3 (%)	17	30	27
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	N/A	2	6
Data completeness of:
7 Audit items for risk-adjustment (%)	95	94	81

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1468	30710
Seen by Clinical Nurse Specialist (%)	N/A	97	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	906	19231
Distant metastases (%)	26	9	9
Urgent or emergency surgery (%)	N/A	18	16
At least 12 lymph nodes excised (%)	67	77	84
Laparoscopic surgery attempted (%)	28	49	63
Risk-adjusted length of stay > 5 days (%)	84	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	230	4468
Neoadjuvant therapy (%)	77	55	35
Circumferential resection margin: Recorded (%)	5	10	26
Circumferential resection margin: Positive (%)	10	9	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