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

• Surgical services:
• On-site thoracic surgical team

• Support service facilities:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	155	3496	30541
Case ascertainment (%)	67	97	93
Data completeness of:
– Pre-treatment TNM (%)	77	62	78
– Performance status (%)	98	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	111	2168	19183
ASA grade 1 (%)	16	11	12
ASA grade 2 (%)	61	56	52
ASA grade 3 (%)	23	29	27
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	N/A	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	79	83

All Patients:	Trust	Network	National
Number of patients in Audit	155	3496	30424
Seen by Clinical Nurse Specialist (%)	93	90	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	111	2168	19222
Distant metastases (%)	8	7	8
Urgent or emergency surgery (%)	13	14	17
At least 12 lymph nodes excised (%)	87	88	87
Laparoscopic surgery attempted (%)	77	69	66
Risk-adjusted length of stay > 5 days (%)	51	67	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	34	484	4503
Neoadjuvant therapy (%)	32	30	36
Circumferential resection margin: Present (%)	100	87	84
Circumferential resection margin: Negative (%)	94	81	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