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

• Surgical services:
• On-site hepatobiliary surgical team

• Support service facilities:
• Dedicated nurses for ERAS services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	215	866	30541
Case ascertainment (%)	96	99	93
Data completeness of:
– Pre-treatment TNM (%)	83	86	78
– Performance status (%)	99	94	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	141	500	19183
ASA grade 1 (%)	15	18	12
ASA grade 2 (%)	52	54	52
ASA grade 3 (%)	28	23	27
ASA grade 4+ (%)	2	2	2
ASA grade not recorded (%)	2	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	84	89	83

All Patients:	Trust	Network	National
Number of patients in Audit	215	866	30424
Seen by Clinical Nurse Specialist (%)	94	96	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	141	500	19222
Distant metastases (%)	20	11	8
Urgent or emergency surgery (%)	18	15	17
At least 12 lymph nodes excised (%)	90	72	87
Laparoscopic surgery attempted (%)	37	60	66
Risk-adjusted length of stay > 5 days (%)	80	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	109	4503
Neoadjuvant therapy (%)	44	43	36
Circumferential resection margin: Present (%)	97	94	84
Circumferential resection margin: Negative (%)	86	81	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