ABS and BAPRAS will continue to improve the evidence base for oncoplastic surgery through thorough evaluation and research. We will also define what high quality oncoplastic surgery ‘looks like’, and establish national service and outcome benchmarks against which units will be assessed to minimise variations. This will help us to drive up standards of care nationally and refine commissioning. The GIRFT NHSI project will be instrumental in driving this as will the new implant and flap registries. The document will require regular review and adaptation as the evidence base grows with regards to techniques and appropriate number of adjustment surgeries.