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
• On-site External Beam Radiotherapy services

• Surgical services:
• On-site hepatobiliary surgical team

• 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	229	1501	30541
Case ascertainment (%)	96	95	93
Data completeness of:
– Pre-treatment TNM (%)	96	90	78
– Performance status (%)	83	92	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	117	919	19183
ASA grade 1 (%)	26	11	12
ASA grade 2 (%)	53	54	52
ASA grade 3 (%)	18	30	27
ASA grade 4+ (%)	2	3	2
ASA grade not recorded (%)	2	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	88	83

All Patients:	Trust	Network	National
Number of patients in Audit	229	1501	30424
Seen by Clinical Nurse Specialist (%)	94	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	117	919	19222
Distant metastases (%)	4	8	8
Urgent or emergency surgery (%)	10	17	17
At least 12 lymph nodes excised (%)	93	91	87
Laparoscopic surgery attempted (%)	53	57	66
Risk-adjusted length of stay > 5 days (%)	76	68	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	17	178	4503
Neoadjuvant therapy (%)	57	45	36
Circumferential resection margin: Present (%)	47	63	84
Circumferential resection margin: Negative (%)	18	54	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