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:
• Availability of 24 hour palliative care advice
• 7-day access to face-to-face palliative care services
• On-site psychology services

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1390	30541
Case ascertainment (%)	N/A	77	93
Data completeness of:
– Pre-treatment TNM (%)	N/A	83	78
– Performance status (%)	N/A	89	85

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	868	19183
ASA grade 1 (%)	3	12	12
ASA grade 2 (%)	40	55	52
ASA grade 3 (%)	38	27	27
ASA grade 4+ (%)	N/A	3	2
ASA grade not recorded (%)	20	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	65	90	83

All Patients:	Trust	Network	National
Number of patients in Audit	N/A	1390	30424
Seen by Clinical Nurse Specialist (%)	N/A	94	93

Patients having major resection:	Trust	Network	National
Number of patients in Audit	40	868	19222
Distant metastases (%)	17	8	8
Urgent or emergency surgery (%)	N/A	14	17
At least 12 lymph nodes excised (%)	89	90	87
Laparoscopic surgery attempted (%)	35	64	66
Risk-adjusted length of stay > 5 days (%)	94	72	64

Patients having major resection:	Trust	Network	National
Number of patients in Audit	20	202	4503
Neoadjuvant therapy (%)	72	35	36
Circumferential resection margin: Present (%)	100	97	84
Circumferential resection margin: Negative (%)	90	91	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