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:
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	159	2005	30541
Case ascertainment (%)	79	87	93
Data completeness of:
– Pre-treatment TNM (%)	52	63	78
– Performance status (%)	88	78	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	1249	19183
ASA grade 1 (%)	12	11	12
ASA grade 2 (%)	42	56	52
ASA grade 3 (%)	22	27	27
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	24	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	62	83	83

All Patients:	Trust	Network	National
Number of patients in Audit	159	2005	30424
Seen by Clinical Nurse Specialist (%)	94	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	123	1249	19222
Distant metastases (%)	9	10	8
Urgent or emergency surgery (%)	21	17	17
At least 12 lymph nodes excised (%)	83	83	87
Laparoscopic surgery attempted (%)	59	58	66
Risk-adjusted length of stay > 5 days (%)	73	60	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	41	330	4503
Neoadjuvant therapy (%)	40	43	36
Circumferential resection margin: Present (%)	83	97	84
Circumferential resection margin: Negative (%)	80	93	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