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 Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy 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

All Patients:	Trust	Network	National
Number of patients in Audit	237	1250	28013
Case ascertainment (%)	113	99	93
Data completeness of:
– Pre-treatment TNM (%)	71	77	71
– Performance status (%)	88	88	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	719	18809
ASA grade 1 (%)	11	14	14
ASA grade 2 (%)	53	55	53
ASA grade 3 (%)	33	24	25
ASA grade 4+ (%)	2	6	3
ASA grade not recorded (%)	1	1	5
Data completeness of:
7 Audit items for risk-adjustment (%)	92	83	82

All Patients:	Trust	Network	National
Number of patients in Audit	237	1250	30122
Seen by Clinical Nurse Specialist (%)	92	97	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	109	719	18809
Distant metastases (%)	7	8	9
Urgent or emergency surgery (%)	9	15	16
Median number of lymph nodes excised	16	17	17
Laparoscopic surgery attempted (%)	55	58	61
Length of stay > 5 days (%)	74	68	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	18	165	4769
Neoadjuvant therapy (%)	50	52	37
Circumferential resection margin: Recorded (%)	50	48	25
Circumferential resection margin: Positive (%)	22	8	7
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