This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Support service facilities:
• Availability of 24 hour palliative care advice
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	134	1050	30541
Case ascertainment (%)	106	102	93
Data completeness of:
– Pre-treatment TNM (%)	78	83	78
– Performance status (%)	97	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	601	19183
ASA grade 1 (%)	19	16	12
ASA grade 2 (%)	50	55	52
ASA grade 3 (%)	26	27	27
ASA grade 4+ (%)	3	2	2
ASA grade not recorded (%)	1	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	94	83

All Patients:	Trust	Network	National
Number of patients in Audit	134	1050	30424
Seen by Clinical Nurse Specialist (%)	97	94	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	72	601	19222
Distant metastases (%)	15	9	8
Urgent or emergency surgery (%)	19	12	17
At least 12 lymph nodes excised (%)	89	90	87
Laparoscopic surgery attempted (%)	44	58	66
Risk-adjusted length of stay > 5 days (%)	81	65	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	163	4503
Neoadjuvant therapy (%)	19	41	36
Circumferential resection margin: Present (%)	100	94	84
Circumferential resection margin: Negative (%)	91	90	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