Shaping better health
REMEDY : BNSSG referral pathways & Joint Formulary

Breast - 2WW

Checked: 27-07-2021 by vicky.ryan Next Review: 26-07-2022

Service Overview

The Suspected Breast Cancer Service runs at NBT. This service is for patients who meet the Breast Cancer Two Week Wait criteria. The service offers consultation with diagnostics and onward referral for treatment as required.

At time of referral please issue the relevant BNSSG 2WW Patient Information Leaflet - COVID-19 edition, which is available in English and 14 additional languages.

There is also an Easy Read version of the leaflet.

Referrals to NBT

Referrals must be submitted using the Suspected Breast Cancer Referral Form (word doc) via eReferral.

*****STOP PRESS 22.07.21​​​​​*****

NBT breast services are currently experiencing very high demand resulting in waits of up to 4 weeks for first appointments for suspected breast cancer. Please see attached statement for further information: NBT Breast Referral Statement - 20.5.21. 

Please tell your patients that they will be seen in a one stop clinic as quickly as possible but try to manage patient expectation during this time. 

To try and ensure the clinic receives the most appropriate referrals, additional information on breast care has been added to Remedy on the following:

The 2WW criteria are listed on the referral form and include a section for non-2WW symptomatic breast referral (should be sent via eReferral outside of 2WW pathway but all patients normally seen within 2 weeks).

Referrals should include:

  • A description of size and location of any lump
  • Details of any mammogram performed in the last 3 years
  • If the patient is being re-referred
  • Is there a family history of breast cancer.

 

For patients with an acute breast abscess then please see the Mastitis and Breast Abscess section

Service Overview - RUH

Services provided by the Breast unit at RUH:

  • A comprehensive symptomatic service for women and men of all ages with breast problems

  • Referral centre for the further assessment and treatment of breast cancer from the National Screening Programme

  • A screening service for asymptomatic women at increased risk of developing breast cancer, i.e. those with a strong family history or recent previous history of breast cancer

  • Breast reconstruction service - in combination with surgery required for breast cancer

  • Specialist breast care nurses, providing information, support and aftercare service including prosthesis fitting.

Comprehensive patient information is available on the RUH Breast Unit web site:

Telephone: 01225 825882

Reception is open 9:00am – 5:00pm, Monday to Friday.
An answer phone will be in use out-of-hours, weekends and bank holidays.

RUH - Referral Guidance

Referring patients to the Breast Unit at RUH Bath - please see a quick guide to help you to choose the right service on eRS. Please also see the referral steps on how to select the clinic in e-Referral to RUH

Referral Guidelines

 Referral Forms

Clinical Guidance

See link to NICE Cancer Guidelines (2015) for suspected Breast Cancer