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
• On-site External Beam Radiotherapy services

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	228	3496	30541
Case ascertainment (%)	97	97	93
Data completeness of:
– Pre-treatment TNM (%)	63	62	78
– Performance status (%)	79	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	152	2168	19183
ASA grade 1 (%)	9	11	12
ASA grade 2 (%)	51	56	52
ASA grade 3 (%)	29	29	27
ASA grade 4+ (%)	6	2	2
ASA grade not recorded (%)	6	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	67	79	83

All Patients:	Trust	Network	National
Number of patients in Audit	228	3496	30424
Seen by Clinical Nurse Specialist (%)	85	90	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	152	2168	19222
Distant metastases (%)	4	7	8
Urgent or emergency surgery (%)	20	14	17
At least 12 lymph nodes excised (%)	77	88	87
Laparoscopic surgery attempted (%)	63	69	66
Risk-adjusted length of stay > 5 days (%)	66	67	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	484	4503
Neoadjuvant therapy (%)	24	30	36
Circumferential resection margin: Present (%)	100	87	84
Circumferential resection margin: Negative (%)	88	81	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