Breast Surgery

Referring via e-Referral

Use e-Referral for:

• Routine patients: these should always be referred via the e-Referral system.
• Urgent patients: all patients should be referred via e-Referral, including 2 Week Wait.

2 Week Wait patients

If the GP is suspicious that a patient has breast cancer the patient should be referred to the 2 Week Wait Bureau via e-Referral.

When referring 2 Week Wait patients via e-Referral, please select 2 Week Wait for the specialty, not Surgery - Breast (breast surgery is currently the only specialty that 2 Week Wait referrals go through e-Referral).

For this service you need to select both the Horton in Banbury and Churchill in Oxford, so that appointments can be offered easily within the two week period.

Common conditions

Common conditions seen in the Breast Clinic are:

• breast lumps
• breast pain
• possible recurrence of breast cancer
• nipple discharge
• Paget's disease
• gynaecomastia (for diagnosis only - see below).

Procedures which may be performed in clinic:

• Fine Needle Aspiration/Biopsy
• breast ultrasound
• mammography

However patients may have to return on another day for imaging.

Exclusions from this clinic

Patients thought to be at an increased risk of breast cancer because of their family history should be referred directly to Clinical Genetics, Churchill Hospital.

NHS in Oxfordshire: the following procedures (by either breast surgeons or plastic surgeons) are currently not funded in Oxfordshire:

• correction of breast asymmetry
• excision of gynaecomastia
• breast reduction/augmentation.

Non Oxfordshire referrers should consult locally for their commissioning rules.

Mammogram and breast ultrasound

Breast Surgical Secretaries: 01865 223921/2