Breast cancer patient pathway

62 day GP referral to first definitive treatment

Referral

• Day 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.

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’.

Surgery

• Day 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.