BreastCheck, the national breast cancer screening programme, operates standards and quality assurance systems that are in line with international guidelines to ensure that the most effective service is provided to women. A specialist BreastCheck multidisciplinary team provides the screening service. Quality assurance standards in operation include the double reading of all mammograms by two specially trained radiologists. Pathologists take part in external Quality Assurance and independent slide review. The entire BreastCheck programme is subject to external review by EUREF, the European Reference Organisation for Quality Assured Breast Screening and Diagnostic Services, with the next review scheduled for Autumn 2014.
Women who have an abnormality on screening will be recalled to an assessment clinic for triple assessment. Such clinics are attended by a radiologist, a breast surgeon, a breast care nurse and appropriate radiography staff. Further imaging, including supplementary mammographic views and ultrasound, clinical examination and either needle biopsy or fine needle aspiration as required is carried out.
A multidisciplinary meeting takes place on a regular basis at each unit to review individual cases. Radiation oncologists and medical oncologists involved in the programme are normally involved in the medical review of all cases of diagnosed breast cancer. Correlation of clinical, radiological and pathological results is performed and the outcome is documented. Further clinical management as required is arranged immediately.
The BreastCheck Women's Charter encourages women to share in decision-making regarding treatment. The Charter highlights the woman’s right to refuse treatment for whatever reason, to obtain a second opinion or to choose alternative treatment. If she so wishes, the woman is encouraged to include a partner, friend or relative in any discussions. Copies of their medical results can be obtained by all women.
