This trust offers the following services:

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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• 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	202	866	30541
Case ascertainment (%)	78	99	93
Data completeness of:
– Pre-treatment TNM (%)	99	86	78
– Performance status (%)	100	94	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	94	500	19183
ASA grade 1 (%)	13	18	12
ASA grade 2 (%)	60	54	52
ASA grade 3 (%)	22	23	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	3	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	91	89	83

All Patients:	Trust	Network	National
Number of patients in Audit	202	866	30424
Seen by Clinical Nurse Specialist (%)	95	96	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	94	500	19222
Distant metastases (%)	11	11	8
Urgent or emergency surgery (%)	14	15	17
At least 12 lymph nodes excised (%)	45	72	87
Laparoscopic surgery attempted (%)	77	60	66
Risk-adjusted length of stay > 5 days (%)	67	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	109	4503
Neoadjuvant therapy (%)	71	43	36
Circumferential resection margin: Present (%)	75	94	84
Circumferential resection margin: Negative (%)	75	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