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

All Patients:	Trust	Network	National
Number of patients in Audit	278	3629	30710
Case ascertainment (%)	85	101	95
Data completeness of:
– Pre-treatment TNM (%)	65	81	76
– Performance status (%)	100	86	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	216	2094	19231
ASA grade 1 (%)	5	9	12
ASA grade 2 (%)	60	52	53
ASA grade 3 (%)	31	30	27
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	N/A	7	6
Data completeness of:
7 Audit items for risk-adjustment (%)	98	74	81

All Patients:	Trust	Network	National
Number of patients in Audit	278	3629	30710
Seen by Clinical Nurse Specialist (%)	100	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	216	2094	19231
Distant metastases (%)	16	8	9
Urgent or emergency surgery (%)	20	17	16
At least 12 lymph nodes excised (%)	93	85	84
Laparoscopic surgery attempted (%)	50	64	63
Risk-adjusted length of stay > 5 days (%)	72	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	54	468	4468
Neoadjuvant therapy (%)	54	33	35
Circumferential resection margin: Recorded (%)	N/A	23	26
Circumferential resection margin: Positive (%)	2	5	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