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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic 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	106	898	30541
Case ascertainment (%)	33	70	93
Data completeness of:
– Pre-treatment TNM (%)	97	81	78
– Performance status (%)	100	99	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	76	526	19183
ASA grade 1 (%)	28	20	12
ASA grade 2 (%)	62	45	52
ASA grade 3 (%)	5	19	27
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	5	14	7
Data completeness of:
7 Audit items for risk-adjustment (%)	70	72	83

All Patients:	Trust	Network	National
Number of patients in Audit	106	898	30424
Seen by Clinical Nurse Specialist (%)	100	99	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	76	526	19222
Distant metastases (%)	9	10	8
Urgent or emergency surgery (%)	19	18	17
At least 12 lymph nodes excised (%)	91	87	87
Laparoscopic surgery attempted (%)	89	67	66
Risk-adjusted length of stay > 5 days (%)	78	75	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	N/A	97	4503
Neoadjuvant therapy (%)	20	40	36
Circumferential resection margin: Present (%)	N/A	69	84
Circumferential resection margin: Negative (%)	N/A	61	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