This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	292	1029	30710
Case ascertainment (%)	102	97	95
Data completeness of:
– Pre-treatment TNM (%)	85	73	76
– Performance status (%)	79	87	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	184	652	19231
ASA grade 1 (%)	10	12	12
ASA grade 2 (%)	38	54	53
ASA grade 3 (%)	26	25	27
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	24	7	6
Data completeness of:
7 Audit items for risk-adjustment (%)	73	84	81

All Patients:	Trust	Network	National
Number of patients in Audit	292	1029	30710
Seen by Clinical Nurse Specialist (%)	100	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	184	652	19231
Distant metastases (%)	5	7	9
Urgent or emergency surgery (%)	19	21	16
At least 12 lymph nodes excised (%)	92	91	84
Laparoscopic surgery attempted (%)	51	67	63
Risk-adjusted length of stay > 5 days (%)	81	69	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	140	4468
Neoadjuvant therapy (%)	26	33	35
Circumferential resection margin: Recorded (%)	6	11	26
Circumferential resection margin: Positive (%)	9	8	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