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

• Oncology services:
• On-site chemotherapy services

• Support service facilities:
• 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	256	1390	30541
Case ascertainment (%)	89	77	93
Data completeness of:
– Pre-treatment TNM (%)	75	83	78
– Performance status (%)	97	89	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	191	868	19183
ASA grade 1 (%)	13	12	12
ASA grade 2 (%)	65	55	52
ASA grade 3 (%)	18	27	27
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	1	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	83	90	83

All Patients:	Trust	Network	National
Number of patients in Audit	256	1390	30424
Seen by Clinical Nurse Specialist (%)	92	94	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	191	868	19222
Distant metastases (%)	7	8	8
Urgent or emergency surgery (%)	17	14	17
At least 12 lymph nodes excised (%)	98	90	87
Laparoscopic surgery attempted (%)	71	64	66
Risk-adjusted length of stay > 5 days (%)	78	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	44	202	4503
Neoadjuvant therapy (%)	25	35	36
Circumferential resection margin: Present (%)	98	97	84
Circumferential resection margin: Negative (%)	95	91	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