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The six regional cancer centres that run Sweden's shared cancer machinery: the national care pathways with their waiting-time targets, the national clinical guidelines, the national quality registers, the coding of the cancer register, and the organised screening and testing programmes.
Regionala cancercentrum i samverkan is the collaboration of Sweden's six regional cancer centres, RCC Norr, Mellansverige, Stockholm Gotland, Väst, Sydöst and Syd, one for each health-care region. They are what makes Sweden's regionally run cancer care behave as one system.
They run the standardised care pathways (standardiserade vårdförlopp, SVF), started by the government and the regions in 2015, which define the investigations for a suspected cancer and a maximum time from well-founded suspicion to the start of first treatment. RCC's annual report for 2025 records 148,441 completed pathways across 27 diagnoses, against two national goals: that 70 per cent of new cancers go through a pathway, and that 80 per cent of patients in a pathway start treatment within its lead time. In 2025, 47 per cent did, up from 45 per cent in 2024; by treatment, 46 per cent for surgery, 35 per cent for radiotherapy and 50 per cent for drugs, and only acute leukaemia met the 80 per cent goal.
The centres also code and quality-check notifications to the national cancer register, host the national quality registers on the INCA platform, publish the national care programmes (vårdprogram) in Kunskapsbanken, and support the regions' screening and testing: the bowel screening programme for everyone aged 60 to 74, cervical screening with HPV self-sampling, the pilot lung screening studies, and organised prostate cancer testing (OPT), which began in two regions in 2020 and which Socialstyrelsen distinguishes from screening.
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