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17.2%, p 0.001) in recent years, and by colorectal subspecialists (p = 0.003). More patients were managed by a colorectal consultant latterly (2002-2006 45.4% vs. 2012-2016 63.7%, p 0.001). There was no difference between colorectal and other subspecialists in mortality (p = 0.156), length of stay (p = 0.201), stoma (p = 0.629) or anastomosis (p = 0.659) rates, including following multivariable adjustment. The study demonstrated a significant reduction in the number of resections over time, increased utilisation of a laparosco