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 Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services

• 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	254	1524	30541
Case ascertainment (%)	114	100	93
Data completeness of:
– Pre-treatment TNM (%)	99	83	78
– Performance status (%)	100	80	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	153	966	19183
ASA grade 1 (%)	10	10	12
ASA grade 2 (%)	60	56	52
ASA grade 3 (%)	25	27	27
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	97	92	83

All Patients:	Trust	Network	National
Number of patients in Audit	254	1524	30424
Seen by Clinical Nurse Specialist (%)	99	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	153	966	19222
Distant metastases (%)	2	6	8
Urgent or emergency surgery (%)	9	12	17
At least 12 lymph nodes excised (%)	76	87	87
Laparoscopic surgery attempted (%)	67	76	66
Risk-adjusted length of stay > 5 days (%)	69	61	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	251	4503
Neoadjuvant therapy (%)	7	22	36
Circumferential resection margin: Present (%)	84	94	84
Circumferential resection margin: Negative (%)	81	89	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