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

All Patients:	Trust	Network	National
Number of patients in Audit	237	922	30541
Case ascertainment (%)	93	99	93
Data completeness of:
– Pre-treatment TNM (%)	77	81	78
– Performance status (%)	96	89	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	634	19183
ASA grade 1 (%)	1	3	12
ASA grade 2 (%)	24	28	52
ASA grade 3 (%)	22	20	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	52	47	7
Data completeness of:
7 Audit items for risk-adjustment (%)	47	51	83

All Patients:	Trust	Network	National
Number of patients in Audit	237	922	30424
Seen by Clinical Nurse Specialist (%)	99	99	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	190	634	19222
Distant metastases (%)	3	7	8
Urgent or emergency surgery (%)	16	15	17
At least 12 lymph nodes excised (%)	86	86	87
Laparoscopic surgery attempted (%)	65	44	66
Risk-adjusted length of stay > 5 days (%)	79	69	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	165	4503
Neoadjuvant therapy (%)	50	49	36
Circumferential resection margin: Present (%)	4	61	84
Circumferential resection margin: Negative (%)	4	45	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