This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver 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

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	334	2005	30541
Case ascertainment (%)	110	87	93
Data completeness of:
– Pre-treatment TNM (%)	60	63	78
– Performance status (%)	91	78	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	188	1249	19183
ASA grade 1 (%)	17	11	12
ASA grade 2 (%)	55	56	52
ASA grade 3 (%)	19	27	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	8	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	92	83	83

All Patients:	Trust	Network	National
Number of patients in Audit	334	2005	30424
Seen by Clinical Nurse Specialist (%)	87	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	188	1249	19222
Distant metastases (%)	10	10	8
Urgent or emergency surgery (%)	14	17	17
At least 12 lymph nodes excised (%)	90	83	87
Laparoscopic surgery attempted (%)	54	58	66
Risk-adjusted length of stay > 5 days (%)	67	60	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	51	330	4503
Neoadjuvant therapy (%)	26	43	36
Circumferential resection margin: Present (%)	100	97	84
Circumferential resection margin: Negative (%)	100	93	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