This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver 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	107	3496	30541
Case ascertainment (%)	110	97	93
Data completeness of:
– Pre-treatment TNM (%)	76	62	78
– Performance status (%)	100	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	2168	19183
ASA grade 1 (%)	19	11	12
ASA grade 2 (%)	47	56	52
ASA grade 3 (%)	31	29	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	2	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	98	79	83

All Patients:	Trust	Network	National
Number of patients in Audit	107	3496	30424
Seen by Clinical Nurse Specialist (%)	94	90	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	59	2168	19222
Distant metastases (%)	12	7	8
Urgent or emergency surgery (%)	N/A	14	17
At least 12 lymph nodes excised (%)	98	88	87
Laparoscopic surgery attempted (%)	71	69	66
Risk-adjusted length of stay > 5 days (%)	81	67	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	12	484	4503
Neoadjuvant therapy (%)	13	30	36
Circumferential resection margin: Present (%)	67	87	84
Circumferential resection margin: Negative (%)	50	81	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