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	326	1981	30541
Case ascertainment (%)	114	103	93
Data completeness of:
– Pre-treatment TNM (%)	83	78	78
– Performance status (%)	46	82	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	1180	19183
ASA grade 1 (%)	7	10	12
ASA grade 2 (%)	47	48	52
ASA grade 3 (%)	38	34	27
ASA grade 4+ (%)	3	4	2
ASA grade not recorded (%)	5	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	90	92	83

All Patients:	Trust	Network	National
Number of patients in Audit	326	1981	30424
Seen by Clinical Nurse Specialist (%)	98	94	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	177	1180	19222
Distant metastases (%)	5	8	8
Urgent or emergency surgery (%)	19	15	17
At least 12 lymph nodes excised (%)	75	88	87
Laparoscopic surgery attempted (%)	76	80	66
Risk-adjusted length of stay > 5 days (%)	71	55	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	298	4503
Neoadjuvant therapy (%)	44	37	36
Circumferential resection margin: Present (%)	76	91	84
Circumferential resection margin: Negative (%)	65	85	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