This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services

All Patients:	Trust	Network	National
Number of patients in Audit	132	3008	28013
Case ascertainment (%)	102	94	93
Data completeness of:
– Pre-treatment TNM (%)	98	71	71
– Performance status (%)	99	77	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	1893	18809
ASA grade 1 (%)	87	20	14
ASA grade 2 (%)	11	52	53
ASA grade 3 (%)	N/A	22	25
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	N/A	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	100	85	82

All Patients:	Trust	Network	National
Number of patients in Audit	132	3008	30122
Seen by Clinical Nurse Specialist (%)	78	82	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	79	1893	18809
Distant metastases (%)	10	7	9
Urgent or emergency surgery (%)	10	12	16
Median number of lymph nodes excised	27	18	17
Laparoscopic surgery attempted (%)	51	55	61
Length of stay > 5 days (%)	64	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	498	4769
Neoadjuvant therapy (%)	53	51	37
Circumferential resection margin: Recorded (%)	8	23	25
Circumferential resection margin: Positive (%)	4	8	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