This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver 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	164	1911	30710
Case ascertainment (%)	101	119	95
Data completeness of:
– Pre-treatment TNM (%)	83	73	76
– Performance status (%)	85	74	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	1214	19231
ASA grade 1 (%)	7	10	12
ASA grade 2 (%)	62	53	53
ASA grade 3 (%)	25	32	27
ASA grade 4+ (%)	4	4	3
ASA grade not recorded (%)	2	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	84	91	81

All Patients:	Trust	Network	National
Number of patients in Audit	164	1911	30710
Seen by Clinical Nurse Specialist (%)	85	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	1214	19231
Distant metastases (%)	17	14	9
Urgent or emergency surgery (%)	24	20	16
At least 12 lymph nodes excised (%)	72	78	84
Laparoscopic surgery attempted (%)	51	46	63
Risk-adjusted length of stay > 5 days (%)	79	71	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	273	4468
Neoadjuvant therapy (%)	53	38	35
Circumferential resection margin: Recorded (%)	42	5	26
Circumferential resection margin: Positive (%)	5	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