Under the College's Royal Charter, Council is formally charged with the management of the College. It appoves the College's Strategy, approves the annual budget and the annual accounts, is responsible for reviewing and managing risk and deals with major cross-College projects and activities.
Policy for the two specialties of the College – clinical oncology and clinical radiology – is agreed by the appropriate Faculty Board.
The eight Honorary Officers of the College serve on Council, including the President who chairs Council. Council also comprises five elected representatives of the Faculty of Clinical Radiology, five elected representatives of the Faculty of Clinical Oncology, and two lay members. All but the lay members also serve as trustees of the College as a registered charity.