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	150	1308	30541
Case ascertainment (%)	115	103	93
Data completeness of:
– Pre-treatment TNM (%)	69	80	78
– Performance status (%)	100	73	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	812	19183
ASA grade 1 (%)	16	13	12
ASA grade 2 (%)	41	37	52
ASA grade 3 (%)	33	20	27
ASA grade 4+ (%)	5	1	2
ASA grade not recorded (%)	5	29	7
Data completeness of:
7 Audit items for risk-adjustment (%)	94	70	83

All Patients:	Trust	Network	National
Number of patients in Audit	150	1308	30424
Seen by Clinical Nurse Specialist (%)	93	84	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	104	812	19222
Distant metastases (%)	13	10	8
Urgent or emergency surgery (%)	9	12	17
At least 12 lymph nodes excised (%)	72	84	87
Laparoscopic surgery attempted (%)	89	79	66
Risk-adjusted length of stay > 5 days (%)	61	68	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	213	4503
Neoadjuvant therapy (%)	65	58	36
Circumferential resection margin: Present (%)	100	83	84
Circumferential resection margin: Negative (%)	92	74	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