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 PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Surgical services:
• On-site hepatobiliary surgical team

All Patients:	Trust	Network	National
Number of patients in Audit	170	1432	30541
Case ascertainment (%)	113	92	93
Data completeness of:
– Pre-treatment TNM (%)	81	75	78
– Performance status (%)	99	88	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	108	938	19183
ASA grade 1 (%)	27	10	12
ASA grade 2 (%)	56	55	52
ASA grade 3 (%)	15	29	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	N/A	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	99	89	83

All Patients:	Trust	Network	National
Number of patients in Audit	170	1432	30424
Seen by Clinical Nurse Specialist (%)	99	97	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	108	938	19222
Distant metastases (%)	8	9	8
Urgent or emergency surgery (%)	12	16	17
At least 12 lymph nodes excised (%)	90	81	87
Laparoscopic surgery attempted (%)	56	55	66
Risk-adjusted length of stay > 5 days (%)	84	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	21	173	4503
Neoadjuvant therapy (%)	52	58	36
Circumferential resection margin: Present (%)	90	88	84
Circumferential resection margin: Negative (%)	76	74	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