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

• Surgical services:
• On-site hepatobiliary surgical team
• On-site thoracic surgical team

All Patients:	Trust	Network	National
Number of patients in Audit	218	1911	30710
Case ascertainment (%)	131	119	95
Data completeness of:
– Pre-treatment TNM (%)	73	73	76
– Performance status (%)	6	74	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	120	1214	19231
ASA grade 1 (%)	9	10	12
ASA grade 2 (%)	57	53	53
ASA grade 3 (%)	28	32	27
ASA grade 4+ (%)	N/A	4	3
ASA grade not recorded (%)	6	1	6
Data completeness of:
7 Audit items for risk-adjustment (%)	72	91	81

All Patients:	Trust	Network	National
Number of patients in Audit	218	1911	30710
Seen by Clinical Nurse Specialist (%)	95	89	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	120	1214	19231
Distant metastases (%)	15	14	9
Urgent or emergency surgery (%)	20	20	16
At least 12 lymph nodes excised (%)	79	78	84
Laparoscopic surgery attempted (%)	72	46	63
Risk-adjusted length of stay > 5 days (%)	61	71	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	273	4468
Neoadjuvant therapy (%)	35	38	35
Circumferential resection margin: Recorded (%)	N/A	5	26
Circumferential resection margin: Positive (%)	N/A	4	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