This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities

• Oncology services:
• On-site chemotherapy 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

All Patients:	Trust	Network	National
Number of patients in Audit	139	557	30541
Case ascertainment (%)	86	74	93
Data completeness of:
– Pre-treatment TNM (%)	77	71	78
– Performance status (%)	99	98	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	453	19183
ASA grade 1 (%)	19	13	12
ASA grade 2 (%)	49	55	52
ASA grade 3 (%)	29	24	27
ASA grade 4+ (%)	1	1	2
ASA grade not recorded (%)	1	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	88	64	83

All Patients:	Trust	Network	National
Number of patients in Audit	139	557	30424
Seen by Clinical Nurse Specialist (%)	100	100	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	93	453	19222
Distant metastases (%)	6	8	8
Urgent or emergency surgery (%)	10	12	17
At least 12 lymph nodes excised (%)	87	91	87
Laparoscopic surgery attempted (%)	74	65	66
Risk-adjusted length of stay > 5 days (%)	49	66	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	106	4503
Neoadjuvant therapy (%)	59	49	36
Circumferential resection margin: Present (%)	95	95	84
Circumferential resection margin: Negative (%)	90	89	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