This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver 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	116	1633	30710
Case ascertainment (%)	122	106	95
Data completeness of:
– Pre-treatment TNM (%)	70	83	76
– Performance status (%)	83	82	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	69	991	19231
ASA grade 1 (%)	13	10	12
ASA grade 2 (%)	58	59	53
ASA grade 3 (%)	26	25	27
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	N/A	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	88	92	81

All Patients:	Trust	Network	National
Number of patients in Audit	116	1633	30710
Seen by Clinical Nurse Specialist (%)	89	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	69	991	19231
Distant metastases (%)	6	7	9
Urgent or emergency surgery (%)	7	13	16
At least 12 lymph nodes excised (%)	86	83	84
Laparoscopic surgery attempted (%)	59	73	63
Risk-adjusted length of stay > 5 days (%)	66	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	11	257	4468
Neoadjuvant therapy (%)	45	26	35
Circumferential resection margin: Recorded (%)	N/A	27	26
Circumferential resection margin: Positive (%)	9	12	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