This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	140	1364	30710
Case ascertainment (%)	108	102	95
Data completeness of:
– Pre-treatment TNM (%)	99	83	76
– Performance status (%)	100	64	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	865	19231
ASA grade 1 (%)	72	25	12
ASA grade 2 (%)	21	40	53
ASA grade 3 (%)	2	22	27
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	4	11	6
Data completeness of:
7 Audit items for risk-adjustment (%)	96	62	81

All Patients:	Trust	Network	National
Number of patients in Audit	140	1364	30710
Seen by Clinical Nurse Specialist (%)	94	78	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	98	865	19231
Distant metastases (%)	8	12	9
Urgent or emergency surgery (%)	7	11	16
At least 12 lymph nodes excised (%)	98	84	84
Laparoscopic surgery attempted (%)	82	72	63
Risk-adjusted length of stay > 5 days (%)	71	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	215	4468
Neoadjuvant therapy (%)	46	55	35
Circumferential resection margin: Recorded (%)	N/A	10	26
Circumferential resection margin: Positive (%)	4	10	7
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