This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver 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	90	1696	30710
Case ascertainment (%)	86	101	95
Data completeness of:
– Pre-treatment TNM (%)	76	60	76
– Performance status (%)	99	94	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	1011	19231
ASA grade 1 (%)	11	10	12
ASA grade 2 (%)	44	55	53
ASA grade 3 (%)	24	28	27
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	20	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	67	89	81

All Patients:	Trust	Network	National
Number of patients in Audit	90	1696	30710
Seen by Clinical Nurse Specialist (%)	97	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	1011	19231
Distant metastases (%)	8	7	9
Urgent or emergency surgery (%)	31	15	16
At least 12 lymph nodes excised (%)	87	89	84
Laparoscopic surgery attempted (%)	73	71	63
Risk-adjusted length of stay > 5 days (%)	71	59	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	10	236	4468
Neoadjuvant therapy (%)	13	22	35
Circumferential resection margin: Recorded (%)	50	33	26
Circumferential resection margin: Positive (%)	20	3	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