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
• 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

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1270	30710
Case ascertainment (%)	N/A	69	95
Data completeness of:
– Pre-treatment TNM (%)	N/A	82	76
– Performance status (%)	N/A	97	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	792	19231
ASA grade 1 (%)	5	13	12
ASA grade 2 (%)	58	50	53
ASA grade 3 (%)	30	24	27
ASA grade 4+ (%)	N/A	3	3
ASA grade not recorded (%)	7	10	6
Data completeness of:
7 Audit items for risk-adjustment (%)	84	75	81

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1270	30710
Seen by Clinical Nurse Specialist (%)	N/A	96	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	43	792	19231
Distant metastases (%)	13	9	9
Urgent or emergency surgery (%)	N/A	16	16
At least 12 lymph nodes excised (%)	68	83	84
Laparoscopic surgery attempted (%)	23	57	63
Risk-adjusted length of stay > 5 days (%)	98	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	25	180	4468
Neoadjuvant therapy (%)	67	27	35
Circumferential resection margin: Recorded (%)	4	23	26
Circumferential resection margin: Positive (%)	16	7	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