This trust offers the following services:

• 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	253	1119	30541
Case ascertainment (%)	110	108	93
Data completeness of:
– Pre-treatment TNM (%)	93	78	78
– Performance status (%)	98	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	163	656	19183
ASA grade 1 (%)	21	18	12
ASA grade 2 (%)	53	44	52
ASA grade 3 (%)	22	20	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	1	16	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	81	83

All Patients:	Trust	Network	National
Number of patients in Audit	253	1119	30424
Seen by Clinical Nurse Specialist (%)	98	95	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	163	656	19222
Distant metastases (%)	9	8	8
Urgent or emergency surgery (%)	11	17	17
At least 12 lymph nodes excised (%)	95	93	87
Laparoscopic surgery attempted (%)	85	76	66
Risk-adjusted length of stay > 5 days (%)	48	58	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	137	4503
Neoadjuvant therapy (%)	23	19	36
Circumferential resection margin: Present (%)	97	90	84
Circumferential resection margin: Negative (%)	91	85	77
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