This trust offers the following services:

• Acute services:
• 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

• 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	194	2248	28013
Case ascertainment (%)	96	85	93
Data completeness of:
– Pre-treatment TNM (%)	80	71	71
– Performance status (%)	99	84	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	136	1439	18809
ASA grade 1 (%)	20	15	14
ASA grade 2 (%)	48	57	53
ASA grade 3 (%)	25	22	25
ASA grade 4+ (%)	7	2	3
ASA grade not recorded (%)	1	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	99	87	82

All Patients:	Trust	Network	National
Number of patients in Audit	194	2248	30122
Seen by Clinical Nurse Specialist (%)	25	84	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	136	1439	18809
Distant metastases (%)	5	9	9
Urgent or emergency surgery (%)	10	15	16
Median number of lymph nodes excised	20	18	17
Laparoscopic surgery attempted (%)	66	62	61
Length of stay > 5 days (%)	62	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	316	4769
Neoadjuvant therapy (%)	10	29	37
Circumferential resection margin: Recorded (%)	30	32	25
Circumferential resection margin: Positive (%)	8	5	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