Clinics offered following GP referral

The New Patient Clinic – also called Triple Assessment clinic:

All patients with a breast related problem (excluding breast pain only) should be referred to a rapid diagnostic clinic for triple assessment.

Patients should allow up to 3 hours for this appointment as it will include:

·         Initial assessment and clinical examination

·         If imaging is required, this will be carried out on the day and if age 40 years and over this will include a mammogram (if not had within the last 6 months).

·         All imaging results will be given prior to you going home

·         If biopsies have been taken, results will take up to 7 days to be reported

·         Results will be given either via face to face consultation, over the telephone or in writing.

The majority of patients attending this clinic are reassured that no worrying abnormality has been found. The following are possible causes of benign (non-worrying) breast symptoms:

·         Breast cysts

Duct ectasia 

Duct Ectasia leaflet

Fat necrosis


Periductal mastitis: 

Gynaecomastia clinic:

This is for male patients under age 50 with a breast related problem. Patients should allow 30 minutes for this appointment which will include:

·         Initial assessment and clinical examination

·         Discussion relating to findings on the day and future plan

·         If imaging is required, this will be requested and an appointment will be sent out in the post for a future date

·         Results of imaging will be in writing to the patient and copied to GP

·         Gynaecomastia usually is a benign (non-worrying) condition. Further information can be found here:


Telephone Mastalgia (breast pain) clinic:

All patients referred with breast pain that DO NOT HAVE:

 A new lump; skin dimpling / change to breast shape; new in-drawing of nipple; clear / blood stained nipple discharge, should expect a telephone consultation with a Consultant, Associate Specialist or Advanced Nurse Practitioner.

·         Patients will receive an appointment letter which will provide the date and an approximate time for the telephone consultation to take place

·         Please ensure that the hospital has the correct contact number for you. If your phone number has changed, inform Breast Services prior to your appointment

·         If you are aged 40 years or over, you will be referred for a mammogram which will be carried out within 2 weeks following your telephone consultation

Breast pain is most commonly a completely benign (non-worrying symptom). Further information on possible causes and measures that can help can be found here:

Family History clinic 

The Family History Clinic is led by an Advanced Nurse Practitioner who consults with individuals who have concerns about their risk of developing breast cancer due to a family history. Individuals are assessed in line with current NICE guidance to try and identify if there is an inherited increased risk of developing breast cancer on the basis of their family history and given information and support relevant to their needs.

The treatment programme involves:

·    A family tree / pedigree is drawn up and other factors associated with risk are discussed.  These include age, gender, hormonal and lifestyle choices.

·    Appropriate surveillance in the form of MRI and / mammography is arranged on an individual basis.

·    Identification of high risk patients or those with a complex family history may necessitate further referral to the Regional Genetic Centre in Manchester for further counselling and discussion.

·    If breast cancer is diagnosed, the patient is referred to a consultant breast surgeon in the department.