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 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	3058	28013
Case ascertainment (%)	75	96	93
Data completeness of:
– Pre-treatment TNM (%)	78	72	71
– Performance status (%)	95	78	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	193	1920	18809
ASA grade 1 (%)	7	13	14
ASA grade 2 (%)	44	52	53
ASA grade 3 (%)	16	25	25
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	30	7	5
Data completeness of:
7 Audit items for risk-adjustment (%)	31	74	82

All Patients:	Trust	Network	National
Number of patients in Audit	279	3058	30122
Seen by Clinical Nurse Specialist (%)	100	94	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	193	1920	18809
Distant metastases (%)	19	11	9
Urgent or emergency surgery (%)	14	18	16
Median number of lymph nodes excised	15	20	17
Laparoscopic surgery attempted (%)	84	61	61
Length of stay > 5 days (%)	60	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	38	499	4769
Neoadjuvant therapy (%)	63	27	37
Circumferential resection margin: Recorded (%)	95	52	25
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