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 Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services

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

All Patients:	Trust	Network	National
Number of patients in Audit	152	1390	30541
Case ascertainment (%)	116	77	93
Data completeness of:
– Pre-treatment TNM (%)	97	83	78
– Performance status (%)	99	89	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	868	19183
ASA grade 1 (%)	10	12	12
ASA grade 2 (%)	61	55	52
ASA grade 3 (%)	23	27	27
ASA grade 4+ (%)	5	3	2
ASA grade not recorded (%)	N/A	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	90	83

All Patients:	Trust	Network	National
Number of patients in Audit	152	1390	30424
Seen by Clinical Nurse Specialist (%)	90	94	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	96	868	19222
Distant metastases (%)	5	8	8
Urgent or emergency surgery (%)	13	14	17
At least 12 lymph nodes excised (%)	83	90	87
Laparoscopic surgery attempted (%)	59	64	66
Risk-adjusted length of stay > 5 days (%)	76	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	14	202	4503
Neoadjuvant therapy (%)	20	35	36
Circumferential resection margin: Present (%)	100	97	84
Circumferential resection margin: Negative (%)	93	91	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