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 PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

• 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	442	2005	30541
Case ascertainment (%)	69	87	93
Data completeness of:
– Pre-treatment TNM (%)	82	63	78
– Performance status (%)	100	78	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	258	1249	19183
ASA grade 1 (%)	5	11	12
ASA grade 2 (%)	61	56	52
ASA grade 3 (%)	32	27	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	N/A	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	83	83

All Patients:	Trust	Network	National
Number of patients in Audit	442	2005	30424
Seen by Clinical Nurse Specialist (%)	93	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	258	1249	19222
Distant metastases (%)	11	10	8
Urgent or emergency surgery (%)	17	17	17
At least 12 lymph nodes excised (%)	79	83	87
Laparoscopic surgery attempted (%)	74	58	66
Risk-adjusted length of stay > 5 days (%)	56	60	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	60	330	4503
Neoadjuvant therapy (%)	40	43	36
Circumferential resection margin: Present (%)	100	97	84
Circumferential resection margin: Negative (%)	97	93	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