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

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	122	3058	28013
Case ascertainment (%)	66	96	93
Data completeness of:
– Pre-treatment TNM (%)	52	72	71
– Performance status (%)	100	78	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	1920	18809
ASA grade 1 (%)	33	13	14
ASA grade 2 (%)	55	52	53
ASA grade 3 (%)	6	25	25
ASA grade 4+ (%)	2	3	3
ASA grade not recorded (%)	4	7	5
Data completeness of:
7 Audit items for risk-adjustment (%)	63	74	82

All Patients:	Trust	Network	National
Number of patients in Audit	122	3058	30122
Seen by Clinical Nurse Specialist (%)	99	94	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	84	1920	18809
Distant metastases (%)	9	11	9
Urgent or emergency surgery (%)	14	18	16
Median number of lymph nodes excised	20	20	17
Laparoscopic surgery attempted (%)	69	61	61
Length of stay > 5 days (%)	71	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	16	499	4769
Neoadjuvant therapy (%)	50	27	37
Circumferential resection margin: Recorded (%)	88	52	25
Circumferential resection margin: Positive (%)	6	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