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

• 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	78	2954	30710
Case ascertainment (%)	36	89	95
Data completeness of:
– Pre-treatment TNM (%)	78	76	76
– Performance status (%)	37	77	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	50	1956	19231
ASA grade 1 (%)	14	10	12
ASA grade 2 (%)	52	52	53
ASA grade 3 (%)	12	27	27
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	22	9	6
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	67	81

All Patients:	Trust	Network	National
Number of patients in Audit	78	2954	30710
Seen by Clinical Nurse Specialist (%)	100	94	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	50	1956	19231
Distant metastases (%)	N/A	11	9
Urgent or emergency surgery (%)	29	18	16
At least 12 lymph nodes excised (%)	98	92	84
Laparoscopic surgery attempted (%)	60	65	63
Risk-adjusted length of stay > 5 days (%)	N/A	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	15	477	4468
Neoadjuvant therapy (%)	50	26	35
Circumferential resection margin: Recorded (%)	100	48	26
Circumferential resection margin: Positive (%)	N/A	4	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