This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities

• Oncology services:
• On-site chemotherapy 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	152	1911	30710
Case ascertainment (%)	101	119	95
Data completeness of:
– Pre-treatment TNM (%)	79	73	76
– Performance status (%)	100	74	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	1214	19231
ASA grade 1 (%)	6	10	12
ASA grade 2 (%)	50	53	53
ASA grade 3 (%)	37	32	27
ASA grade 4+ (%)	5	4	3
ASA grade not recorded (%)	2	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	92	91	81

All Patients:	Trust	Network	National
Number of patients in Audit	152	1911	30710
Seen by Clinical Nurse Specialist (%)	97	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	103	1214	19231
Distant metastases (%)	22	14	9
Urgent or emergency surgery (%)	30	20	16
At least 12 lymph nodes excised (%)	83	78	84
Laparoscopic surgery attempted (%)	34	46	63
Risk-adjusted length of stay > 5 days (%)	59	71	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	273	4468
Neoadjuvant therapy (%)	57	38	35
Circumferential resection margin: Recorded (%)	N/A	5	26
Circumferential resection margin: Positive (%)	8	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