This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT facilities

• Oncology 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	210	2005	30710
Case ascertainment (%)	105	96	95
Data completeness of:
– Pre-treatment TNM (%)	20	86	76
– Performance status (%)	16	68	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	1253	19231
ASA grade 1 (%)	11	11	12
ASA grade 2 (%)	61	56	53
ASA grade 3 (%)	24	28	27
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	5	2	6
Data completeness of:
7 Audit items for risk-adjustment (%)	50	85	81

All Patients:	Trust	Network	National
Number of patients in Audit	210	2005	30710
Seen by Clinical Nurse Specialist (%)	100	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	122	1253	19231
Distant metastases (%)	10	10	9
Urgent or emergency surgery (%)	11	18	16
At least 12 lymph nodes excised (%)	87	78	84
Laparoscopic surgery attempted (%)	43	57	63
Risk-adjusted length of stay > 5 days (%)	76	66	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	331	4468
Neoadjuvant therapy (%)	34	42	35
Circumferential resection margin: Recorded (%)	4	7	26
Circumferential resection margin: Positive (%)	4	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