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:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	206	1895	28013
Case ascertainment (%)	93	95	93
Data completeness of:
– Pre-treatment TNM (%)	97	74	71
– Performance status (%)	99	76	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	1267	18809
ASA grade 1 (%)	7	9	14
ASA grade 2 (%)	47	49	53
ASA grade 3 (%)	41	35	25
ASA grade 4+ (%)	5	5	3
ASA grade not recorded (%)	1	2	5
Data completeness of:
7 Audit items for risk-adjustment (%)	99	89	82

All Patients:	Trust	Network	National
Number of patients in Audit	206	1895	30122
Seen by Clinical Nurse Specialist (%)	98	92	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	160	1267	18809
Distant metastases (%)	6	9	9
Urgent or emergency surgery (%)	20	18	16
Median number of lymph nodes excised	21	17	17
Laparoscopic surgery attempted (%)	77	75	61
Length of stay > 5 days (%)	71	64	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	39	324	4769
Neoadjuvant therapy (%)	30	36	37
Circumferential resection margin: Recorded (%)	N/A	11	25
Circumferential resection margin: Positive (%)	10	6	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