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

• Surgical services:
• On-site thoracic surgical team

All Patients:	Trust	Network	National
Number of patients in Audit	438	2954	30710
Case ascertainment (%)	108	89	95
Data completeness of:
– Pre-treatment TNM (%)	80	76	76
– Performance status (%)	100	77	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	275	1956	19231
ASA grade 1 (%)	12	10	12
ASA grade 2 (%)	60	52	53
ASA grade 3 (%)	24	27	27
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	N/A	9	6
Data completeness of:
7 Audit items for risk-adjustment (%)	95	67	81

All Patients:	Trust	Network	National
Number of patients in Audit	438	2954	30710
Seen by Clinical Nurse Specialist (%)	96	94	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	275	1956	19231
Distant metastases (%)	7	11	9
Urgent or emergency surgery (%)	23	18	16
At least 12 lymph nodes excised (%)	97	92	84
Laparoscopic surgery attempted (%)	68	65	63
Risk-adjusted length of stay > 5 days (%)	69	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	477	4468
Neoadjuvant therapy (%)	37	26	35
Circumferential resection margin: Recorded (%)	3	48	26
Circumferential resection margin: Positive (%)	1	4	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