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 PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

• 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	365	1308	30541
Case ascertainment (%)	104	103	93
Data completeness of:
– Pre-treatment TNM (%)	98	80	78
– Performance status (%)	84	73	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	254	812	19183
ASA grade 1 (%)	11	13	12
ASA grade 2 (%)	51	37	52
ASA grade 3 (%)	33	20	27
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	3	29	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	70	83

All Patients:	Trust	Network	National
Number of patients in Audit	365	1308	30424
Seen by Clinical Nurse Specialist (%)	79	84	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	254	812	19222
Distant metastases (%)	9	10	8
Urgent or emergency surgery (%)	12	12	17
At least 12 lymph nodes excised (%)	84	84	87
Laparoscopic surgery attempted (%)	75	79	66
Risk-adjusted length of stay > 5 days (%)	70	68	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	60	213	4503
Neoadjuvant therapy (%)	62	58	36
Circumferential resection margin: Present (%)	98	83	84
Circumferential resection margin: Negative (%)	77	74	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