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	203	1785	30710
Case ascertainment (%)	91	96	95
Data completeness of:
– Pre-treatment TNM (%)	90	76	76
– Performance status (%)	98	83	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	167	1155	19231
ASA grade 1 (%)	7	11	12
ASA grade 2 (%)	51	51	53
ASA grade 3 (%)	38	32	27
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	N/A	3	6
Data completeness of:
7 Audit items for risk-adjustment (%)	99	91	81

All Patients:	Trust	Network	National
Number of patients in Audit	203	1785	30710
Seen by Clinical Nurse Specialist (%)	98	93	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	167	1155	19231
Distant metastases (%)	5	9	9
Urgent or emergency surgery (%)	22	18	16
At least 12 lymph nodes excised (%)	93	86	84
Laparoscopic surgery attempted (%)	81	77	63
Risk-adjusted length of stay > 5 days (%)	67	64	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	45	285	4468
Neoadjuvant therapy (%)	47	43	35
Circumferential resection margin: Recorded (%)	N/A	22	26
Circumferential resection margin: Positive (%)	7	4	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