This trust offers the following services:

• 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

• Surgical services:
• On-site hepatobiliary surgical team

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	215	1602	30710
Case ascertainment (%)	104	103	95
Data completeness of:
– Pre-treatment TNM (%)	87	72	76
– Performance status (%)	97	95	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	134	1006	19231
ASA grade 1 (%)	13	9	12
ASA grade 2 (%)	60	57	53
ASA grade 3 (%)	23	26	27
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	N/A	4	6
Data completeness of:
7 Audit items for risk-adjustment (%)	85	76	81

All Patients:	Trust	Network	National
Number of patients in Audit	215	1602	30710
Seen by Clinical Nurse Specialist (%)	95	95	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	134	1006	19231
Distant metastases (%)	8	9	9
Urgent or emergency surgery (%)	10	17	16
At least 12 lymph nodes excised (%)	96	87	84
Laparoscopic surgery attempted (%)	37	55	63
Risk-adjusted length of stay > 5 days (%)	80	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	33	219	4468
Neoadjuvant therapy (%)	56	44	35
Circumferential resection margin: Recorded (%)	100	63	26
Circumferential resection margin: Positive (%)	N/A	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