This trust offers the following services:

• 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:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	201	1015	30710
Case ascertainment (%)	92	96	95
Data completeness of:
– Pre-treatment TNM (%)	68	82	76
– Performance status (%)	76	93	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	142	679	19231
ASA grade 1 (%)	8	16	12
ASA grade 2 (%)	44	54	53
ASA grade 3 (%)	34	24	27
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	12	3	6
Data completeness of:
7 Audit items for risk-adjustment (%)	82	93	81

All Patients:	Trust	Network	National
Number of patients in Audit	201	1015	30710
Seen by Clinical Nurse Specialist (%)	89	96	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	142	679	19231
Distant metastases (%)	5	7	9
Urgent or emergency surgery (%)	17	17	16
At least 12 lymph nodes excised (%)	89	92	84
Laparoscopic surgery attempted (%)	32	69	63
Risk-adjusted length of stay > 5 days (%)	86	68	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	146	4468
Neoadjuvant therapy (%)	10	22	35
Circumferential resection margin: Recorded (%)	46	16	26
Circumferential resection margin: Positive (%)	22	11	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