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

• 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

All Patients:	Trust	Network	National
Number of patients in Audit	169	1761	30541
Case ascertainment (%)	89	96	93
Data completeness of:
– Pre-treatment TNM (%)	96	77	78
– Performance status (%)	20	80	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	1172	19183
ASA grade 1 (%)	11	10	12
ASA grade 2 (%)	52	58	52
ASA grade 3 (%)	12	23	27
ASA grade 4+ (%)	1	3	2
ASA grade not recorded (%)	24	6	7
Data completeness of:
7 Audit items for risk-adjustment (%)	75	81	83

All Patients:	Trust	Network	National
Number of patients in Audit	169	1761	30424
Seen by Clinical Nurse Specialist (%)	100	79	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	100	1172	19222
Distant metastases (%)	1	7	8
Urgent or emergency surgery (%)	87	31	17
At least 12 lymph nodes excised (%)	95	90	87
Laparoscopic surgery attempted (%)	98	74	66
Risk-adjusted length of stay > 5 days (%)	18	64	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	28	260	4503
Neoadjuvant therapy (%)	33	27	36
Circumferential resection margin: Present (%)	11	60	84
Circumferential resection margin: Negative (%)	11	57	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