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	217	2135	28013
Case ascertainment (%)	100	91	93
Data completeness of:
– Pre-treatment TNM (%)	86	65	71
– Performance status (%)	100	64	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	131	1304	18809
ASA grade 1 (%)	35	13	14
ASA grade 2 (%)	47	59	53
ASA grade 3 (%)	16	22	25
ASA grade 4+ (%)	1	2	3
ASA grade not recorded (%)	2	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	95	87	82

All Patients:	Trust	Network	National
Number of patients in Audit	217	2135	30122
Seen by Clinical Nurse Specialist (%)	93	92	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	131	1304	18809
Distant metastases (%)	8	10	9
Urgent or emergency surgery (%)	23	18	16
Median number of lymph nodes excised	17	16	17
Laparoscopic surgery attempted (%)	51	53	61
Length of stay > 5 days (%)	58	66	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	380	4769
Neoadjuvant therapy (%)	23	43	37
Circumferential resection margin: Recorded (%)	23	5	25
Circumferential resection margin: Positive (%)	5	7	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