The National Bowel Cancer Audit is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP), and delivered by the National Cancer Audit Collaborating Centre (NATCAN), a part of the Clinical Effectiveness Unit (CEU) at the Royal College of Surgeons of England. Clinical leadership is appointed through open election and close consultation with the Association of Coloproctology of Great Britain and Ireland (ACPGBI).