In parallel with the Rapid Access Clinic for Symptomatic Breast Disease in St James's Hospital, a Familial Breast Cancer Risk Assessment Service has evolved to provide a clinical service to women who are considered to be at higher than average risk of developing cancer in their lifetime. Due to increased referral rates to the symptomatic breast disease clinic, as well as to the 'family risk' clinic, the hospital is currently prioritising the symptomatic patients to ensure that a quality, timely and sustainable service is available to them. This has resulted in the suspension of the family risk service, other than for urgent cases.
One of the hospital's two mammography machines which was at end of life has recently been replaced. A third machine is on order and is expected to be installed either late this year or early in 2019. Capacity for mammography has been a major part of the challenge in meeting demand for breast services in St James's.
The intention is to restore the Familial Breast Cancer Risk Assessment Service in St James's as early as possible in the new year.