This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) 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	159	3629	30710
Case ascertainment (%)	107	101	95
Data completeness of:
– Pre-treatment TNM (%)	30	81	76
– Performance status (%)	100	86	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	2094	19231
ASA grade 1 (%)	12	9	12
ASA grade 2 (%)	57	52	53
ASA grade 3 (%)	19	30	27
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	12	7	6
Data completeness of:
7 Audit items for risk-adjustment (%)	73	74	81

All Patients:	Trust	Network	National
Number of patients in Audit	159	3629	30710
Seen by Clinical Nurse Specialist (%)	87	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	81	2094	19231
Distant metastases (%)	9	8	9
Urgent or emergency surgery (%)	15	17	16
At least 12 lymph nodes excised (%)	84	85	84
Laparoscopic surgery attempted (%)	48	64	63
Risk-adjusted length of stay > 5 days (%)	91	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	468	4468
Neoadjuvant therapy (%)	21	33	35
Circumferential resection margin: Recorded (%)	30	23	26
Circumferential resection margin: Positive (%)	25	5	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