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During the 1970s and 1980s, gynaecological surgeons with a special interest in oncology surgery established a number of services throughout Britain, mainly in university teaching hospitals. Most women diagnosed with cervical, uterine, ovarian, vulval or vaginal cancer continued to be managed within small district general hospitals or teaching hospitals by generalist obstetricians and gynaecologists. The Royal College of Obstetricians and Gynaecologists (RCOG) provides a complete set of standards for the provision of a streamlined service. The clinicians and commissioners should use these standards to develop national quality accounts. Research in the field of gynaecological oncology is performed as a separate entity, or the subspecialty training is extended to 3 years to include a significant component for research. Quality assurance minimum standards of care in gynaecological oncology relate to the timeliness of treatment, the functionality of multidisciplinary teams and audits of various outcomes.
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