This trust offers the following services:

• 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

All Patients:	Trust	Network	National
Number of patients in Audit	133	1071	30710
Case ascertainment (%)	44	86	95
Data completeness of:
– Pre-treatment TNM (%)	96	84	76
– Performance status (%)	100	100	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	94	672	19231
ASA grade 1 (%)	17	21	12
ASA grade 2 (%)	52	52	53
ASA grade 3 (%)	24	22	27
ASA grade 4+ (%)	2	2	3
ASA grade not recorded (%)	4	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	73	82	81

All Patients:	Trust	Network	National
Number of patients in Audit	133	1071	30710
Seen by Clinical Nurse Specialist (%)	98	98	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	94	672	19231
Distant metastases (%)	12	11	9
Urgent or emergency surgery (%)	11	16	16
At least 12 lymph nodes excised (%)	94	85	84
Laparoscopic surgery attempted (%)	84	66	63
Risk-adjusted length of stay > 5 days (%)	76	80	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	107	4468
Neoadjuvant therapy (%)	32	40	35
Circumferential resection margin: Recorded (%)	45	41	26
Circumferential resection margin: Positive (%)	20	10	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