Presentation on theme: "Breast cancer patient pathway"— Presentation transcript:
1 Breast cancer patient pathway 62 day GP referral to first definitive treatment
2 ReferralDay 0 – Patient referred by their GP on 2ww pathway. Referral made via ICE.Day 2 – Patient sent appointment letter. Appointment scheduled for day 13 – no sooner slots.Day 10 – Patient telephones hospital to cancel their appointment, due to a prior engagement. Patient was not expecting to be seen for 4-6 weeks. Appointment rebooked for next available slot, at day 23.Referrals via ICE to be encouraged.GPs always to inform patients that they will be sent at appointment within 2 weeks of referral.Last calendar year - Average wait for appointment is 11.7 days. Median wait is 13 days. 95th percentile is 15 days.
3 Outpatient Appointment Day 23 – Patient seen by consultant in clinic. Referred for mammogram, U/S guided core biopsy and same-day follow up in clinic with the results. For MDT discussion.Day 28 – Case discussed at MDT with biopsy results. Cancer confirmed. For surgery.Day 30 – Patient attends one stop follow up clinic. Informed of diagnosis and plan for surgery. Patient has cardiac condition so requires anaesthetic review. Patient wants ‘thinking time’.Highlight importance of mammogram and U/S biopsy at first appointment.
4 SurgeryDay 35 – Patient contacts CNS with decision to proceed to surgery. Patient referred for surgery with anaesthetic review. Provisional surgery date given.Day 45 – Pre-operative assessment with anaesthetic review. Case referred to Cardiology for advice.Day 52 – Cardiology confirm patient fit for surgery.Day 59 – Surgery.