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
• 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

• 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	242	2837	30541
Case ascertainment (%)	105	88	93
Data completeness of:
– Pre-treatment TNM (%)	70	80	78
– Performance status (%)	16	84	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	124	1814	19183
ASA grade 1 (%)	5	12	12
ASA grade 2 (%)	37	50	52
ASA grade 3 (%)	29	29	27
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	27	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	1	76	83

All Patients:	Trust	Network	National
Number of patients in Audit	242	2837	30424
Seen by Clinical Nurse Specialist (%)	96	95	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	124	1814	19222
Distant metastases (%)	N/A	9	8
Urgent or emergency surgery (%)	32	19	17
At least 12 lymph nodes excised (%)	N/A	90	87
Laparoscopic surgery attempted (%)	52	69	66
Risk-adjusted length of stay > 5 days (%)	N/A	59	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	32	427	4503
Neoadjuvant therapy (%)	52	31	36
Circumferential resection margin: Present (%)	N/A	63	84
Circumferential resection margin: Negative (%)	N/A	57	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