1. Pathway for patients with suspected Breast Cancer
Median Wait
(days)
Pathway for patients with suspected Breast Cancer
2ww referral received in secondary care
11 Days
First Seen
Triple assessment – One Stop – Breast Clinic 11
Relevant verbal and written information provided
Is cancer confirmed or still suspected?
Clinical examination imaging +/- biopsies No
Results discussed with patient
Provide ongoing psychological support & assessment
Yes
Allocate Breast Care Nurse / Key Worker
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 discussion
19-24 years old – continue on tumour site specific pathway & refer to TYA MDT for discussion.
Further diagnostics
See TYA pathway No
Yes
Inform patient’s GP of serious diagnosis
Arrange further
biopsies/imaging
Initial MDT discussion of investigation results, treatment & rehabilitation plan plus consideration for clinical trials
Histology/scan results available
See Breast Rehabilitation Care Pathway liaise & involve healthcare professional as required
Further investigations carried out
20 Days
*Inter Provider Transfer
Network Best Practice
Further diagnostics
Yes 31
13 Days No
Decision to Treat 44
Agreed proposed treatment plan, follow up or discharge with patient
15 Days
Chemotherapy
Surgery
Radiotherapy
Endocrine therapy
Bisphosphonates
Biological agents
First Treatment
Primary endocrine therapy
Primary chemotherapy
Surgery +/- reconstruction
Supportive palliative care 59
Patient assessed
MDT discussion to review histology & staging results also consider for clinical trials
Further investigations required?
Yes
Further investigations as required No
Earliest Clinically Appropriate Date (ECAD)
for commencement of subsequent treatment
Chemotherapy
Is adjuvant treatment required?
Endocrine Therapy
Yes
Radiotherapy No
Appropriate after care
Biological Agent
* Less than 1% of breast patients receive treatment
at different Trusts
Breast Cancer Ideal Pathway [final]