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
• On-site thoracic surgical team

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	226	3058	28013
Case ascertainment (%)	88	96	93
Data completeness of:
– Pre-treatment TNM (%)	38	72	71
– Performance status (%)	70	78	77

Patients having major resection:	Trust	Network	National
Number of patients in Audit	137	1920	18809
ASA grade 1 (%)	15	13	14
ASA grade 2 (%)	45	52	53
ASA grade 3 (%)	35	25	25
ASA grade 4+ (%)	4	3	3
ASA grade not recorded (%)	1	7	5
Data completeness of:
7 Audit items for risk-adjustment (%)	74	74	82

All Patients:	Trust	Network	National
Number of patients in Audit	226	3058	30122
Seen by Clinical Nurse Specialist (%)	100	94	92

Patients having major resection:	Trust	Network	National
Number of patients in Audit	137	1920	18809
Distant metastases (%)	9	11	9
Urgent or emergency surgery (%)	18	18	16
Median number of lymph nodes excised	24	20	17
Laparoscopic surgery attempted (%)	61	61	61
Length of stay > 5 days (%)	80	67	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	37	499	4769
Neoadjuvant therapy (%)	19	27	37
Circumferential resection margin: Recorded (%)	3	52	25
Circumferential resection margin: Positive (%)	5	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