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
• 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
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	218	1968	28013
Case ascertainment (%)	100	76	93
Data completeness of:
– Pre-treatment TNM (%)	100	79	71
– Performance status (%)	100	84	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	142	1310	18809
ASA grade 1 (%)	11	14	14
ASA grade 2 (%)	52	50	53
ASA grade 3 (%)	30	23	25
ASA grade 4+ (%)	8	4	3
ASA grade not recorded (%)	N/A	10	5
Data completeness of:
7 Audit items for risk-adjustment (%)	98	78	82

All Patients:	Trust	Network	National
Number of patients in Audit	218	1968	30122
Seen by Clinical Nurse Specialist (%)	100	95	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	142	1310	18809
Distant metastases (%)	11	11	9
Urgent or emergency surgery (%)	3	14	16
Median number of lymph nodes excised	24	18	17
Laparoscopic surgery attempted (%)	80	56	61
Length of stay > 5 days (%)	69	72	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	314	4769
Neoadjuvant therapy (%)	26	39	37
Circumferential resection margin: Recorded (%)	14	10	25
Circumferential resection margin: Positive (%)	14	11	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