This trust offers the following services:

• 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

• Support service facilities:
• Dedicated nurses for ERAS services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	160	1015	30541
Case ascertainment (%)	87	91	93
Data completeness of:
– Pre-treatment TNM (%)	90	77	78
– Performance status (%)	94	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	639	19183
ASA grade 1 (%)	18	11	12
ASA grade 2 (%)	66	53	52
ASA grade 3 (%)	13	29	27
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	3	5	7
Data completeness of:
7 Audit items for risk-adjustment (%)	92	86	83

All Patients:	Trust	Network	National
Number of patients in Audit	160	1015	30424
Seen by Clinical Nurse Specialist (%)	99	89	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	107	639	19222
Distant metastases (%)	12	9	8
Urgent or emergency surgery (%)	19	17	17
At least 12 lymph nodes excised (%)	88	89	87
Laparoscopic surgery attempted (%)	80	69	66
Risk-adjusted length of stay > 5 days (%)	58	63	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	26	152	4503
Neoadjuvant therapy (%)	13	27	36
Circumferential resection margin: Present (%)	92	78	84
Circumferential resection margin: Negative (%)	92	75	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