This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site PET-CT 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	139	1039	30710
Case ascertainment (%)	105	100	95
Data completeness of:
– Pre-treatment TNM (%)	87	82	76
– Performance status (%)	97	74	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	630	19231
ASA grade 1 (%)	10	15	12
ASA grade 2 (%)	55	56	53
ASA grade 3 (%)	31	25	27
ASA grade 4+ (%)	4	2	3
ASA grade not recorded (%)	N/A	2	6
Data completeness of:
7 Audit items for risk-adjustment (%)	100	91	81

All Patients:	Trust	Network	National
Number of patients in Audit	139	1039	30710
Seen by Clinical Nurse Specialist (%)	88	90	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	80	630	19231
Distant metastases (%)	6	10	9
Urgent or emergency surgery (%)	18	13	16
At least 12 lymph nodes excised (%)	56	84	84
Laparoscopic surgery attempted (%)	71	53	63
Risk-adjusted length of stay > 5 days (%)	72	75	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	163	4468
Neoadjuvant therapy (%)	44	42	35
Circumferential resection margin: Recorded (%)	N/A	4	26
Circumferential resection margin: Positive (%)	12	4	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