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:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	158	2005	30710
Case ascertainment (%)	75	96	95
Data completeness of:
– Pre-treatment TNM (%)	54	86	76
– Performance status (%)	83	68	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	101	1253	19231
ASA grade 1 (%)	8	11	12
ASA grade 2 (%)	44	56	53
ASA grade 3 (%)	33	28	27
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	12	2	6
Data completeness of:
7 Audit items for risk-adjustment (%)	65	85	81

All Patients:	Trust	Network	National
Number of patients in Audit	158	2005	30710
Seen by Clinical Nurse Specialist (%)	99	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	101	1253	19231
Distant metastases (%)	5	10	9
Urgent or emergency surgery (%)	15	18	16
At least 12 lymph nodes excised (%)	75	78	84
Laparoscopic surgery attempted (%)	69	57	63
Risk-adjusted length of stay > 5 days (%)	63	66	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	29	331	4468
Neoadjuvant therapy (%)	6	42	35
Circumferential resection margin: Recorded (%)	59	7	26
Circumferential resection margin: Positive (%)	3	7	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