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

• 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	149	1948	30541
Case ascertainment (%)	99	104	93
Data completeness of:
– Pre-treatment TNM (%)	85	85	78
– Performance status (%)	99	90	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	1297	19183
ASA grade 1 (%)	6	8	12
ASA grade 2 (%)	57	56	52
ASA grade 3 (%)	36	33	27
ASA grade 4+ (%)	1	2	2
ASA grade not recorded (%)	N/A	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	97	93	83

All Patients:	Trust	Network	National
Number of patients in Audit	149	1948	30424
Seen by Clinical Nurse Specialist (%)	100	100	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	1297	19222
Distant metastases (%)	9	13	8
Urgent or emergency surgery (%)	17	19	17
At least 12 lymph nodes excised (%)	93	87	87
Laparoscopic surgery attempted (%)	44	52	66
Risk-adjusted length of stay > 5 days (%)	86	70	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	23	337	4503
Neoadjuvant therapy (%)	46	32	36
Circumferential resection margin: Present (%)	96	93	84
Circumferential resection margin: Negative (%)	91	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