This revised guidance comes at a time of modernisation and change. New NHS structures such as Primary Care Organisations and Strategic Health Authorities (Regional Offices and Local Health Boards in Wales) mean many of those concerned in these bodies will need to learn afresh what needs to be done and why. They need to appreciate how their organisation can contribute effectively to improving outcomes, including acting together for more centralised services such as radiotherapy. An increasing range of cancer policies is now available, together with NICE appraisals. This guidance seeks to complement these other policies, so that initiatives are consistent with one another. In a year’s time there.