This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• 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

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	247	1633	30710
Case ascertainment (%)	119	106	95
Data completeness of:
– Pre-treatment TNM (%)	99	83	76
– Performance status (%)	100	82	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	991	19231
ASA grade 1 (%)	8	10	12
ASA grade 2 (%)	59	59	53
ASA grade 3 (%)	30	25	27
ASA grade 4+ (%)	3	2	3
ASA grade not recorded (%)	N/A	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	95	92	81

All Patients:	Trust	Network	National
Number of patients in Audit	247	1633	30710
Seen by Clinical Nurse Specialist (%)	100	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	143	991	19231
Distant metastases (%)	3	7	9
Urgent or emergency surgery (%)	6	13	16
At least 12 lymph nodes excised (%)	79	83	84
Laparoscopic surgery attempted (%)	56	73	63
Risk-adjusted length of stay > 5 days (%)	75	65	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	257	4468
Neoadjuvant therapy (%)	30	26	35
Circumferential resection margin: Recorded (%)	68	27	26
Circumferential resection margin: Positive (%)	23	12	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