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	104	1524	30541
Case ascertainment (%)	108	100	93
Data completeness of:
– Pre-treatment TNM (%)	77	83	78
– Performance status (%)	93	80	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	64	966	19183
ASA grade 1 (%)	23	10	12
ASA grade 2 (%)	20	56	52
ASA grade 3 (%)	25	27	27
ASA grade 4+ (%)	3	3	2
ASA grade not recorded (%)	28	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	66	92	83

All Patients:	Trust	Network	National
Number of patients in Audit	104	1524	30424
Seen by Clinical Nurse Specialist (%)	86	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	64	966	19222
Distant metastases (%)	N/A	6	8
Urgent or emergency surgery (%)	9	12	17
At least 12 lymph nodes excised (%)	95	87	87
Laparoscopic surgery attempted (%)	73	76	66
Risk-adjusted length of stay > 5 days (%)	51	61	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	251	4503
Neoadjuvant therapy (%)	6	22	36
Circumferential resection margin: Present (%)	100	94	84
Circumferential resection margin: Negative (%)	88	89	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