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

All Patients:	Trust	Network	National
Number of patients in Audit	132	1551	28013
Case ascertainment (%)	72	104	93
Data completeness of:
– Pre-treatment TNM (%)	42	73	71
– Performance status (%)	91	72	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	57	905	18809
ASA grade 1 (%)	2	10	14
ASA grade 2 (%)	9	56	53
ASA grade 3 (%)	N/A	22	25
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	89	9	5
Data completeness of:
7 Audit items for risk-adjustment (%)	5	85	82

All Patients:	Trust	Network	National
Number of patients in Audit	132	1551	30122
Seen by Clinical Nurse Specialist (%)	95	88	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	57	905	18809
Distant metastases (%)	25	7	9
Urgent or emergency surgery (%)	11	14	16
Median number of lymph nodes excised	23	19	17
Laparoscopic surgery attempted (%)	68	72	61
Length of stay > 5 days (%)	87	60	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	256	4769
Neoadjuvant therapy (%)	15	28	37
Circumferential resection margin: Recorded (%)	100	37	25
Circumferential resection margin: Positive (%)	N/A	5	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