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

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

All Patients:	Trust	Network	National
Number of patients in Audit	257	1308	30541
Case ascertainment (%)	98	103	93
Data completeness of:
– Pre-treatment TNM (%)	64	80	78
– Performance status (%)	49	73	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	154	812	19183
ASA grade 1 (%)	9	13	12
ASA grade 2 (%)	8	37	52
ASA grade 3 (%)	N/A	20	27
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	82	29	7
Data completeness of:
7 Audit items for risk-adjustment (%)	12	70	83

All Patients:	Trust	Network	National
Number of patients in Audit	257	1308	30424
Seen by Clinical Nurse Specialist (%)	97	84	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	154	812	19222
Distant metastases (%)	16	10	8
Urgent or emergency surgery (%)	20	12	17
At least 12 lymph nodes excised (%)	84	84	87
Laparoscopic surgery attempted (%)	83	79	66
Risk-adjusted length of stay > 5 days (%)	N/A	68	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	213	4503
Neoadjuvant therapy (%)	54	58	36
Circumferential resection margin: Present (%)	93	83	84
Circumferential resection margin: Negative (%)	85	74	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