This trust offers the following services:

• 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

• 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	236	1105	30541
Case ascertainment (%)	112	94	93
Data completeness of:
– Pre-treatment TNM (%)	86	87	78
– Performance status (%)	22	64	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	149	677	19183
ASA grade 1 (%)	37	23	12
ASA grade 2 (%)	40	53	52
ASA grade 3 (%)	21	22	27
ASA grade 4+ (%)	2	1	2
ASA grade not recorded (%)	1	N/A	7
Data completeness of:
7 Audit items for risk-adjustment (%)	92	96	83

All Patients:	Trust	Network	National
Number of patients in Audit	236	1105	30424
Seen by Clinical Nurse Specialist (%)	100	98	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	149	677	19222
Distant metastases (%)	5	5	8
Urgent or emergency surgery (%)	22	18	17
At least 12 lymph nodes excised (%)	71	79	87
Laparoscopic surgery attempted (%)	60	67	66
Risk-adjusted length of stay > 5 days (%)	57	53	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	149	4503
Neoadjuvant therapy (%)	8	25	36
Circumferential resection margin: Present (%)	87	94	84
Circumferential resection margin: Negative (%)	77	88	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