Based on an agreement between the Swedish Government and the Swedish Association of Local Authorities and Regions, the Confederation of Regional Cancer Centers was assigned to promote national concentration of highly specialised cancer care. From 2014 to 2018, concentration was implemented regarding treatments in ten different areas. It's too early to evaluate the medical results, but early experience indicates an increased consolidation of care, improved cooperation at the national level, establishment of national multiprofessional conferences and increased adherence to the national guidelines. Need for solutions at national level has been identified e.g. regarding national pricing and IT structure.