In England each Chapter corresponds to a former NHS region and each is represented by an elected Chapter Representative. Wales, Scotland, and Ireland (one from Northern Ireland and one from the Republic of Ireland) have two representatives each.

The prime function of the Chapter representative is to reflect the views of the Ordinary Members in their chapter, at deliberations of the Council. In addition Chapter Representatives have the following commitments:

• convey matters of training and education between Council and members within the Chapter
• advise the Regional Postgraduate Deans and Chairmen of Regional Specialist Training Committees on matters concerning training in coloproctology
• advise Specialist Regional Advisers on the job description of consultant posts with an interest in coloproctology
• organise regular multi-professional local Chapter Meetings.

North

• North Western
• Mersey
• Northern
• Yorkshire

Midlands

• Oxford
• West Midlands
• Trent

South West

• South Western
• Wessex

South East

• East Anglia
• North East Thames
• South East Thames
• North West Thames
• South West Thames

Scotland, Wales, and Ireland

• Scotland
• North Wales
• South Wales
• Northern Ireland
• Republic of Ireland