This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Surgical services:
• On-site thoracic surgical team

• Support service facilities:
• Dedicated nurses for ERAS services
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	140	1432	30541
Case ascertainment (%)	81	92	93
Data completeness of:
– Pre-treatment TNM (%)	70	75	78
– Performance status (%)	94	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	938	19183
ASA grade 1 (%)	12	10	12
ASA grade 2 (%)	52	55	52
ASA grade 3 (%)	34	29	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	N/A	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	89	83

All Patients:	Trust	Network	National
Number of patients in Audit	140	1432	30424
Seen by Clinical Nurse Specialist (%)	98	97	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	938	19222
Distant metastases (%)	8	9	8
Urgent or emergency surgery (%)	18	16	17
At least 12 lymph nodes excised (%)	91	81	87
Laparoscopic surgery attempted (%)	76	55	66
Risk-adjusted length of stay > 5 days (%)	67	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	24	173	4503
Neoadjuvant therapy (%)	40	58	36
Circumferential resection margin: Present (%)	100	88	84
Circumferential resection margin: Negative (%)	92	74	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