This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times

• 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:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	216	1631	30710
Case ascertainment (%)	114	91	95
Data completeness of:
– Pre-treatment TNM (%)	94	85	76
– Performance status (%)	100	88	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	101	1132	19231
ASA grade 1 (%)	24	10	12
ASA grade 2 (%)	55	61	53
ASA grade 3 (%)	18	20	27
ASA grade 4+ (%)	2	4	3
ASA grade not recorded (%)	1	5	6
Data completeness of:
7 Audit items for risk-adjustment (%)	89	69	81

All Patients:	Trust	Network	National
Number of patients in Audit	216	1631	30710
Seen by Clinical Nurse Specialist (%)	10	70	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	101	1132	19231
Distant metastases (%)	8	5	9
Urgent or emergency surgery (%)	26	18	16
At least 12 lymph nodes excised (%)	95	89	84
Laparoscopic surgery attempted (%)	80	71	63
Risk-adjusted length of stay > 5 days (%)	77	69	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	235	4468
Neoadjuvant therapy (%)	14	20	35
Circumferential resection margin: Recorded (%)	50	54	26
Circumferential resection margin: Positive (%)	25	6	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