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 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:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	166	2718	28013
Case ascertainment (%)	113	97	93
Data completeness of:
– Pre-treatment TNM (%)	95	76	71
– Performance status (%)	99	79	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	1703	18809
ASA grade 1 (%)	8	13	14
ASA grade 2 (%)	61	55	53
ASA grade 3 (%)	28	28	25
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	1	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	86	86	82

All Patients:	Trust	Network	National
Number of patients in Audit	166	2718	30122
Seen by Clinical Nurse Specialist (%)	96	97	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	95	1703	18809
Distant metastases (%)	10	7	9
Urgent or emergency surgery (%)	11	15	16
Median number of lymph nodes excised	14	17	17
Laparoscopic surgery attempted (%)	66	72	61
Length of stay > 5 days (%)	64	59	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	454	4769
Neoadjuvant therapy (%)	24	29	37
Circumferential resection margin: Recorded (%)	8	29	25
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