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

• 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
• 7-day access to face-to-face palliative care services

All Patients:	Trust	Network	National
Number of patients in Audit	152	557	30541
Case ascertainment (%)	80	74	93
Data completeness of:
– Pre-treatment TNM (%)	78	71	78
– Performance status (%)	100	98	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	115	453	19183
ASA grade 1 (%)	17	13	12
ASA grade 2 (%)	58	55	52
ASA grade 3 (%)	23	24	27
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	N/A	7	7
Data completeness of:
7 Audit items for risk-adjustment (%)	16	64	83

All Patients:	Trust	Network	National
Number of patients in Audit	152	557	30424
Seen by Clinical Nurse Specialist (%)	100	100	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	115	453	19222
Distant metastases (%)	9	8	8
Urgent or emergency surgery (%)	16	12	17
At least 12 lymph nodes excised (%)	92	91	87
Laparoscopic surgery attempted (%)	74	65	66
Risk-adjusted length of stay > 5 days (%)	N/A	66	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	19	106	4503
Neoadjuvant therapy (%)	46	49	36
Circumferential resection margin: Present (%)	100	95	84
Circumferential resection margin: Negative (%)	89	89	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