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:
• Dedicated nurses for ERAS services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	311	922	30541
Case ascertainment (%)	108	99	93
Data completeness of:
– Pre-treatment TNM (%)	79	81	78
– Performance status (%)	76	89	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	201	634	19183
ASA grade 1 (%)	N/A	3	12
ASA grade 2 (%)	N/A	28	52
ASA grade 3 (%)	N/A	20	27
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	100	47	7
Data completeness of:
7 Audit items for risk-adjustment (%)	N/A	51	83

All Patients:	Trust	Network	National
Number of patients in Audit	311	922	30424
Seen by Clinical Nurse Specialist (%)	99	99	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	201	634	19222
Distant metastases (%)	8	7	8
Urgent or emergency surgery (%)	21	15	17
At least 12 lymph nodes excised (%)	84	86	87
Laparoscopic surgery attempted (%)	32	44	66
Risk-adjusted length of stay > 5 days (%)	N/A	69	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	49	165	4503
Neoadjuvant therapy (%)	57	49	36
Circumferential resection margin: Present (%)	57	61	84
Circumferential resection margin: Negative (%)	8	45	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