This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT 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	143	1186	30710
Case ascertainment (%)	105	102	95
Data completeness of:
– Pre-treatment TNM (%)	76	61	76
– Performance status (%)	100	75	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	747	19231
ASA grade 1 (%)	7	16	12
ASA grade 2 (%)	62	55	53
ASA grade 3 (%)	29	25	27
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	N/A	2	6
Data completeness of:
7 Audit items for risk-adjustment (%)	96	94	81

All Patients:	Trust	Network	National
Number of patients in Audit	143	1186	30710
Seen by Clinical Nurse Specialist (%)	98	95	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	747	19231
Distant metastases (%)	5	5	9
Urgent or emergency surgery (%)	12	13	16
At least 12 lymph nodes excised (%)	82	78	84
Laparoscopic surgery attempted (%)	75	68	63
Risk-adjusted length of stay > 5 days (%)	59	60	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	195	4468
Neoadjuvant therapy (%)	24	29	35
Circumferential resection margin: Recorded (%)	32	8	26
Circumferential resection margin: Positive (%)	5	14	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