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

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

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

All Patients:	Trust	Network	National
Number of patients in Audit	450	3150	28013
Case ascertainment (%)	109	97	93
Data completeness of:
– Pre-treatment TNM (%)	54	54	71
– Performance status (%)	90	64	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	252	1907	18809
ASA grade 1 (%)	8	10	14
ASA grade 2 (%)	68	53	53
ASA grade 3 (%)	21	24	25
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	N/A	9	5
Data completeness of:
7 Audit items for risk-adjustment (%)	73	70	82

All Patients:	Trust	Network	National
Number of patients in Audit	450	3150	30122
Seen by Clinical Nurse Specialist (%)	73	87	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	252	1907	18809
Distant metastases (%)	12	10	9
Urgent or emergency surgery (%)	11	17	16
Median number of lymph nodes excised	16	16	17
Laparoscopic surgery attempted (%)	37	59	61
Length of stay > 5 days (%)	70	71	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	76	483	4769
Neoadjuvant therapy (%)	20	26	37
Circumferential resection margin: Recorded (%)	18	28	25
Circumferential resection margin: Positive (%)	5	8	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