This trust offers the following services:

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

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	117	2837	30541
Case ascertainment (%)	76	88	93
Data completeness of:
– Pre-treatment TNM (%)	58	80	78
– Performance status (%)	90	84	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	1814	19183
ASA grade 1 (%)	9	12	12
ASA grade 2 (%)	44	50	52
ASA grade 3 (%)	31	29	27
ASA grade 4+ (%)	4	3	2
ASA grade not recorded (%)	13	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	50	76	83

All Patients:	Trust	Network	National
Number of patients in Audit	117	2837	30424
Seen by Clinical Nurse Specialist (%)	84	95	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	78	1814	19222
Distant metastases (%)	11	9	8
Urgent or emergency surgery (%)	14	19	17
At least 12 lymph nodes excised (%)	100	90	87
Laparoscopic surgery attempted (%)	73	69	66
Risk-adjusted length of stay > 5 days (%)	57	59	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	427	4503
Neoadjuvant therapy (%)	59	31	36
Circumferential resection margin: Present (%)	4	63	84
Circumferential resection margin: Negative (%)	4	57	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