This trust offers the following services:

• Acute services:
• Specialist colorectal surgeon on-call at all times
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1432	30541
Case ascertainment (%)	N/A	92	93
Data completeness of:
– Pre-treatment TNM (%)	N/A	75	78
– Performance status (%)	N/A	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	938	19183
ASA grade 1 (%)	26	10	12
ASA grade 2 (%)	49	55	52
ASA grade 3 (%)	6	29	27
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	19	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	68	89	83

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1432	30424
Seen by Clinical Nurse Specialist (%)	N/A	97	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	938	19222
Distant metastases (%)	34	9	8
Urgent or emergency surgery (%)	1	16	17
At least 12 lymph nodes excised (%)	83	81	87
Laparoscopic surgery attempted (%)	30	55	66
Risk-adjusted length of stay > 5 days (%)	87	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	173	4503
Neoadjuvant therapy (%)	79	58	36
Circumferential resection margin: Present (%)	96	88	84
Circumferential resection margin: Negative (%)	70	74	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