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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	187	1119	30541
Case ascertainment (%)	94	108	93
Data completeness of:
– Pre-treatment TNM (%)	39	78	78
– Performance status (%)	68	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	656	19183
ASA grade 1 (%)	7	18	12
ASA grade 2 (%)	38	44	52
ASA grade 3 (%)	25	20	27
ASA grade 4+ (%)	6	2	2
ASA grade not recorded (%)	25	16	7
Data completeness of:
7 Audit items for risk-adjustment (%)	70	81	83

All Patients:	Trust	Network	National
Number of patients in Audit	187	1119	30424
Seen by Clinical Nurse Specialist (%)	80	95	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	656	19222
Distant metastases (%)	10	8	8
Urgent or emergency surgery (%)	32	17	17
At least 12 lymph nodes excised (%)	90	93	87
Laparoscopic surgery attempted (%)	44	76	66
Risk-adjusted length of stay > 5 days (%)	77	58	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	137	4503
Neoadjuvant therapy (%)	12	19	36
Circumferential resection margin: Present (%)	61	90	84
Circumferential resection margin: Negative (%)	54	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