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

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	213	1184	28013
Case ascertainment (%)	60	88	93
Data completeness of:
– Pre-treatment TNM (%)	80	77	71
– Performance status (%)	100	90	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	147	763	18809
ASA grade 1 (%)	31	28	14
ASA grade 2 (%)	51	48	53
ASA grade 3 (%)	18	19	25
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	1	4	5
Data completeness of:
7 Audit items for risk-adjustment (%)	92	86	82

All Patients:	Trust	Network	National
Number of patients in Audit	213	1184	30122
Seen by Clinical Nurse Specialist (%)	90	80	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	147	763	18809
Distant metastases (%)	6	9	9
Urgent or emergency surgery (%)	10	13	16
Median number of lymph nodes excised	21	19	17
Laparoscopic surgery attempted (%)	88	73	61
Length of stay > 5 days (%)	58	61	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	201	4769
Neoadjuvant therapy (%)	29	30	37
Circumferential resection margin: Recorded (%)	14	22	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