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
• 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
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	235	1709	30541
Case ascertainment (%)	111	104	93
Data completeness of:
– Pre-treatment TNM (%)	90	86	78
– Performance status (%)	97	96	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	133	1081	19183
ASA grade 1 (%)	8	10	12
ASA grade 2 (%)	71	59	52
ASA grade 3 (%)	20	27	27
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	2	7
Data completeness of:
7 Audit items for risk-adjustment (%)	85	91	83

All Patients:	Trust	Network	National
Number of patients in Audit	235	1709	30424
Seen by Clinical Nurse Specialist (%)	94	95	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	133	1081	19222
Distant metastases (%)	8	6	8
Urgent or emergency surgery (%)	11	14	17
At least 12 lymph nodes excised (%)	93	93	87
Laparoscopic surgery attempted (%)	79	77	66
Risk-adjusted length of stay > 5 days (%)	66	52	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	272	4503
Neoadjuvant therapy (%)	20	31	36
Circumferential resection margin: Present (%)	93	85	84
Circumferential resection margin: Negative (%)	93	80	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