Clinical governance and effectiveness frameworks ensure that patient care reaches the required standards. These activities go on within individual Oral Medicine units. The Society is developing a role in facilitating joint governance activities between units. For example, if someone has a common condition such as oral lichen planus it is reasonable to expect that the minimum standards of care are the same wherever the specialist care is being delivered. Joint Oral Medicine unit service evaluation, for less common conditions such as orofacial granulomatosis are also providing new insight that will shape future specialist care. The Society is represented at the Clinical Standards Committee that meets in London.