This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Surgical services:
• On-site thoracic surgical team

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	123	1468	30710
Case ascertainment (%)	87	99	95
Data completeness of:
– Pre-treatment TNM (%)	66	62	76
– Performance status (%)	55	88	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	906	19231
ASA grade 1 (%)	13	13	12
ASA grade 2 (%)	45	52	53
ASA grade 3 (%)	40	30	27
ASA grade 4+ (%)	1	3	3
ASA grade not recorded (%)	1	2	6
Data completeness of:
7 Audit items for risk-adjustment (%)	95	94	81

All Patients:	Trust	Network	National
Number of patients in Audit	123	1468	30710
Seen by Clinical Nurse Specialist (%)	97	97	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	87	906	19231
Distant metastases (%)	7	9	9
Urgent or emergency surgery (%)	23	18	16
At least 12 lymph nodes excised (%)	89	77	84
Laparoscopic surgery attempted (%)	71	49	63
Risk-adjusted length of stay > 5 days (%)	72	76	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	22	230	4468
Neoadjuvant therapy (%)	67	55	35
Circumferential resection margin: Recorded (%)	5	10	26
Circumferential resection margin: Positive (%)	N/A	9	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