The HSE is continuing to make extensive efforts to provide an outreach service but this has not proved possible largely due to pressure on mammography staff resources at Galway University Hospital where recruitment of mammographers has proven extremely difficult. The priority is to ensure that patients have their follow up mammographies in a timely manner. Women availing of symptomatic breast services at Galway University Hospitals have access based on clinical need to an excellent nationally accredited service. The National Cancer Control Programme has set national standards against which all symptomatic breast cancer services are measured and the Galway/Letterkenny service has consistently delivered on these standards, ensuring that the best possible services are provided to women in the catchment area of the West / North West Hospitals Group.