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

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	95	1270	30710
Case ascertainment (%)	102	69	95
Data completeness of:
– Pre-treatment TNM (%)	72	82	76
– Performance status (%)	86	97	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	792	19231
ASA grade 1 (%)	8	13	12
ASA grade 2 (%)	59	50	53
ASA grade 3 (%)	33	24	27
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	N/A	10	6
Data completeness of:
7 Audit items for risk-adjustment (%)	44	75	81

All Patients:	Trust	Network	National
Number of patients in Audit	95	1270	30710
Seen by Clinical Nurse Specialist (%)	99	96	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	66	792	19231
Distant metastases (%)	17	9	9
Urgent or emergency surgery (%)	6	16	16
At least 12 lymph nodes excised (%)	79	83	84
Laparoscopic surgery attempted (%)	64	57	63
Risk-adjusted length of stay > 5 days (%)	90	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	180	4468
Neoadjuvant therapy (%)	13	27	35
Circumferential resection margin: Recorded (%)	20	23	26
Circumferential resection margin: Positive (%)	N/A	7	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