HNY Policy and Pathway Repository - North Yorkshire and York

Create and submit referral request to the RSS

Female

• Any age nipple rash
• Any age - skin changes that suggest breast cancer
• Any age nipple retraction/distortion 
• Any age blood stained nipple discharge
• Age ≥ 30 and discrete lump
• Age ≥ 30 with unexplained lump in axilla (any age if previous breast cancer)
• Age > 50 unilateral nipple discharge

 Male

• Age ≥ 50 and unilateral mass:

If your patient does not meet any of the NICE defined USC criteria please liaise (by phone or Advice and Guidance) with a specialist or send them in as an urgent referral. Please do not annotate USC forms with your own criteria.
 

Patient awareness

• Confirm that your patient understands that they have been referred onto a “suspected cancer pathway”
• Confirm that your patient has received the CRUK information leaflet 
• Confirm that your patient is available to attend an appointment within 28 days of this referral (aim is to see and diagnose patients within 28 days)

• Breast cancer criteria form
• CRUK patient leaflet
• CCG patient leaflet (unpublished as out of date)

Referral forms

• EMIS
• SystmOne

GIRFT Best Practice Timed Diagnostic Cancer Pathways
 

Faster diagnostic pathways

Implementing a timed breast cancer diagnostic pathway: guidance for local health and social care systems

Implementing a timed breast cancer diagnostic pathway - audit tool
 

Additional resources

Breast screening: guidance on screening women with implants

• york-and-scarborough-teaching-hospitals