This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

All Patients:	Trust	Network	National
Number of patients in Audit	89	1071	30710
Case ascertainment (%)	97	86	95
Data completeness of:
– Pre-treatment TNM (%)	96	84	76
– Performance status (%)	100	100	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	56	672	19231
ASA grade 1 (%)	7	21	12
ASA grade 2 (%)	54	52	53
ASA grade 3 (%)	30	22	27
ASA grade 4+ (%)	4	2	3
ASA grade not recorded (%)	5	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	95	82	81

All Patients:	Trust	Network	National
Number of patients in Audit	89	1071	30710
Seen by Clinical Nurse Specialist (%)	100	98	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	56	672	19231
Distant metastases (%)	4	11	9
Urgent or emergency surgery (%)	9	16	16
At least 12 lymph nodes excised (%)	93	85	84
Laparoscopic surgery attempted (%)	75	66	63
Risk-adjusted length of stay > 5 days (%)	61	80	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	107	4468
Neoadjuvant therapy (%)	N/A	40	35
Circumferential resection margin: Recorded (%)	N/A	41	26
Circumferential resection margin: Positive (%)	N/A	10	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