The Bone & Joint JournalVol. 103-B, No. 3 Oncology Tomohiro Fujiwara, Robert J. Grimer, Scott Evans, Manuel Ricardo Medellin Rincon, Yusuke Tsuda, Louis-Romée Le Nail, Seggy Abudu Abstract Aims Urgent referral to a specialist centre for patients with a soft-tissue sarcoma (STS) has been recommended by the National Institute for Health and Care Excellence (NICE) in the UK since 2006. However, the impact of this recommendation on the prognosis for these patients remains unclear.