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
• On-site External Beam Radiotherapy 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	355	1524	30541
Case ascertainment (%)	107	100	93
Data completeness of:
– Pre-treatment TNM (%)	62	83	78
– Performance status (%)	27	80	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	203	966	19183
ASA grade 1 (%)	12	10	12
ASA grade 2 (%)	55	56	52
ASA grade 3 (%)	27	27	27
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	4	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	93	92	83

All Patients:	Trust	Network	National
Number of patients in Audit	355	1524	30424
Seen by Clinical Nurse Specialist (%)	94	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	203	966	19222
Distant metastases (%)	12	6	8
Urgent or emergency surgery (%)	11	12	17
At least 12 lymph nodes excised (%)	96	87	87
Laparoscopic surgery attempted (%)	89	76	66
Risk-adjusted length of stay > 5 days (%)	63	61	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	251	4503
Neoadjuvant therapy (%)	32	22	36
Circumferential resection margin: Present (%)	99	94	84
Circumferential resection margin: Negative (%)	94	89	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