This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities

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

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	195	1981	30541
Case ascertainment (%)	96	103	93
Data completeness of:
– Pre-treatment TNM (%)	78	78	78
– Performance status (%)	43	82	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	77	1180	19183
ASA grade 1 (%)	5	10	12
ASA grade 2 (%)	49	48	52
ASA grade 3 (%)	39	34	27
ASA grade 4+ (%)	3	4	2
ASA grade not recorded (%)	4	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	81	92	83

All Patients:	Trust	Network	National
Number of patients in Audit	195	1981	30424
Seen by Clinical Nurse Specialist (%)	93	94	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	77	1180	19222
Distant metastases (%)	15	8	8
Urgent or emergency surgery (%)	23	15	17
At least 12 lymph nodes excised (%)	80	88	87
Laparoscopic surgery attempted (%)	86	80	66
Risk-adjusted length of stay > 5 days (%)	48	55	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	298	4503
Neoadjuvant therapy (%)	75	37	36
Circumferential resection margin: Present (%)	94	91	84
Circumferential resection margin: Negative (%)	94	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