_

13 Days
11 Days
15 Days
Triple assessment – One Stop – Breast Clinic
Pathway for patients with suspected Breast Cancer
Median Wait(days)
Breast Cancer Ideal Pathway[final]
2ww referral received in secondary care
Clinical examination imaging +/- biopsies
Is cancer confirmed or still suspected?
Results discussed with patient
Holistic and rehabilitation assessment. Proposed treatment plan/further treatment outlined
Discharge or follow up as per protocol
16-18 years old – refer to Paediatric Oncology (GNCC) for treatment and TYA MDT for discussion19-24 years old – continue on tumour site specific pathway & refer to TYA MDT for discussion.
Further diagnostics
No
Histology/scan results available
Further investigations carried out
Initial MDT discussion of investigation results, treatment & rehabilitation plan plus consideration for clinical trials
No
Yes
Further diagnostics
Yes
Agreed proposed treatment plan, follow up or discharge with patient
No
Primary chemotherapy
Supportive palliative care
Surgery +/- reconstruction
Patient assessed
MDT discussion to review histology & staging results also consider for clinical trials
Further investigations required?
Is adjuvant treatment required?
Further investigations as required
No
Yes
No
Chemotherapy
Endocrine Therapy
Radiotherapy
Biological Agent
Yes
Relevant verbal and written information provided
Provide ongoing psychological support & assessment
Allocate Breast Care Nurse / Key Worker
See TYA pathway
Inform patient’s GP of serious diagnosis
See Breast Rehabilitation Care Pathway liaise & involve healthcare professional as required
Decision to Treat
First Treatment
EarliestClinicallyAppropriateDate (ECAD)for commencement of subsequent treatment
Arrange furtherbiopsies/imaging
ChemotherapySurgeryRadiotherapyEndocrine therapyBisphosphonatesBiological agents
Yes
First Seen
0
11
59
44
20 Days
Primary endocrine therapy
*Inter Provider TransferNetwork Best Practice
31
* Less than 1% of breast patients receive treatmentat different Trusts