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

All Patients:	Trust	Network	National
Number of patients in Audit	415	1119	30541
Case ascertainment (%)	119	108	93
Data completeness of:
– Pre-treatment TNM (%)	75	78	78
– Performance status (%)	60	79	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	211	656	19183
ASA grade 1 (%)	31	18	12
ASA grade 2 (%)	29	44	52
ASA grade 3 (%)	7	20	27
ASA grade 4+ (%)	N/A	2	2
ASA grade not recorded (%)	33	16	7
Data completeness of:
7 Audit items for risk-adjustment (%)	61	81	83

All Patients:	Trust	Network	National
Number of patients in Audit	415	1119	30424
Seen by Clinical Nurse Specialist (%)	97	95	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	211	656	19222
Distant metastases (%)	8	8	8
Urgent or emergency surgery (%)	17	17	17
At least 12 lymph nodes excised (%)	95	93	87
Laparoscopic surgery attempted (%)	81	76	66
Risk-adjusted length of stay > 5 days (%)	59	58	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	44	137	4503
Neoadjuvant therapy (%)	20	19	36
Circumferential resection margin: Present (%)	95	90	84
Circumferential resection margin: Negative (%)	95	85	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