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 Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	282	1981	30541
Case ascertainment (%)	97	103	93
Data completeness of:
– Pre-treatment TNM (%)	83	78	78
– Performance status (%)	90	82	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	1180	19183
ASA grade 1 (%)	13	10	12
ASA grade 2 (%)	49	48	52
ASA grade 3 (%)	33	34	27
ASA grade 4+ (%)	4	4	2
ASA grade not recorded (%)	1	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	92	83

All Patients:	Trust	Network	National
Number of patients in Audit	282	1981	30424
Seen by Clinical Nurse Specialist (%)	92	94	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	1180	19222
Distant metastases (%)	6	8	8
Urgent or emergency surgery (%)	16	15	17
At least 12 lymph nodes excised (%)	82	88	87
Laparoscopic surgery attempted (%)	49	80	66
Risk-adjusted length of stay > 5 days (%)	51	55	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	298	4503
Neoadjuvant therapy (%)	23	37	36
Circumferential resection margin: Present (%)	100	91	84
Circumferential resection margin: Negative (%)	95	85	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