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 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
• 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	119	1524	30541
Case ascertainment (%)	68	100	93
Data completeness of:
– Pre-treatment TNM (%)	86	83	78
– Performance status (%)	98	80	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	966	19183
ASA grade 1 (%)	1	10	12
ASA grade 2 (%)	73	56	52
ASA grade 3 (%)	23	27	27
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	3	4	7
Data completeness of:
7 Audit items for risk-adjustment (%)	96	92	83

All Patients:	Trust	Network	National
Number of patients in Audit	119	1524	30424
Seen by Clinical Nurse Specialist (%)	91	92	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	966	19222
Distant metastases (%)	6	6	8
Urgent or emergency surgery (%)	11	12	17
At least 12 lymph nodes excised (%)	81	87	87
Laparoscopic surgery attempted (%)	74	76	66
Risk-adjusted length of stay > 5 days (%)	75	61	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	27	251	4503
Neoadjuvant therapy (%)	11	22	36
Circumferential resection margin: Present (%)	93	94	84
Circumferential resection margin: Negative (%)	85	89	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