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 PET-CT facilities

• Oncology services:
• On-site chemotherapy services

• Surgical services:
• On-site hepatobiliary surgical team

All Patients:	Trust	Network	National
Number of patients in Audit	354	2626	28013
Case ascertainment (%)	101	98	93
Data completeness of:
– Pre-treatment TNM (%)	88	80	71
– Performance status (%)	100	88	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	213	1599	18809
ASA grade 1 (%)	14	14	14
ASA grade 2 (%)	57	53	53
ASA grade 3 (%)	26	29	25
ASA grade 4+ (%)	3	3	3
ASA grade not recorded (%)	N/A	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	85	91	82

All Patients:	Trust	Network	National
Number of patients in Audit	354	2626	30122
Seen by Clinical Nurse Specialist (%)	100	94	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	213	1599	18809
Distant metastases (%)	3	10	9
Urgent or emergency surgery (%)	18	16	16
Median number of lymph nodes excised	19	15	17
Laparoscopic surgery attempted (%)	75	53	61
Length of stay > 5 days (%)	80	78	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	47	387	4769
Neoadjuvant therapy (%)	73	63	37
Circumferential resection margin: Recorded (%)	N/A	26	25
Circumferential resection margin: Positive (%)	4	6	7
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