ABSTRACT
The standards and regulations that surround cancer is evidence based, is directed by cancer clinicians and is reviewed in line with emerging research and international developments. The evolution of the management of modern cancer services goes back to 1995 when the Calman-Hine report published the findings and proposals of the Expert Advisory Group on Cancer. The national focus will generally always fall on to Cancer Waiting Times as statistics are tangible and relatively easily explained to the wider public. In the early 21st century, in response to Calman-Hine, a complex and detailed series of measures was developed in order to provide a national and local assessment framework for assurance. Although these processes were seen at the time as very onerous, their implementation resulted in much of the standardisation of services we have now; certainly, in Breast Cancer services, it facilitated the highly specialised services that we see now.
