This page is for anyone who has been referred to our Breast Care Unit.

If you have been referred for routine breast screening please see the King’s College Hospital breast screening webpage. The NHS Cancer Screening Programme website has a step by step guide to breast screening. Public Health England also has a full guide to screening.

If you are referred to the Breast Care Unit by your GP (General Practitioner) you will receive an appointment letter with full details of your appointment.

How we will care for you

We provide a diagnostic and treatment service for women with breast conditions. We see all new patients within 14 days of referral, as per the NHS standard for urgent referrals. We run regular clinics, as follows:

  • Monday: mornings
  • Tuesday: mornings
  • Wednesday: afternoons (on occasions)
  • Thursday: afternoons
  • Friday: no clinic

Morning clinics starts at 8.30am. Afternoon clinics start at 1pm.

We aim to offer you same-day consultation and investigation with a member of the breast care team, though this is not always possible. If you need any further investigations, such as a mammogram (breast x-ray) or biopsy, you may be in the unit between two to four hours. Please make provisions for this, such as bringing snack or refreshments.

What will happen at your appointment

  • You will be seen by a consultant breast surgeon or a member of their team. They will record your medical history and complete a clinical examination.
  • If they feel further investigations are needed, you will be sent for diagnostic testing to confirm or rule out breast cancer or other conditions. You may have a mammogramtomosynthesis, an ultrasound, a biopsy, or a combination of these.
  • Your diagnostic tests will be reviewed by a consultant radiologist and consultant breast surgeon.

If no further tests are required, you will receive a letter and be discharged by your consultant surgeon back into the care of your GP. 

If you have a biopsy:

  • An appointment will be scheduled for you to discuss the results. If the doctor that performed the biopsy is concerned by the findings you will be asked to return to clinic to see a member of the medical team (breast consultant, clinical fellow, registrar or SHO ) who will notify you of suspicions or concerns about a cancer.
  • The results of your biopsy will be discussed at our breast care multi-disciplinary team meeting. This is a team of health professionals with different areas of expertise including a radiologist and breast care surgeon.
  • You will then be asked to attend a clinic (virtually or face to face) with one of our consultant surgeons and clinics nurse specialists, where the results of your biopsy will be shared with you. You may bring a relative or friend into the consulting room with you if you wish. If no-one is able to accompany you, it may be helpful to have someone on stand-by who can listen to the consultation on the phone.

Our Breast care pathway for diagnostic testing and Breast care glossary of terms have more details.

Preparing for your appointment

No special preparation is needed for this clinic appointment. You are welcome to bring a friend or family member with you, as it may be helpful if you have concerns about understanding what the medical team will discuss with you.

You may be in the unit between two to four hours. Please make provisions for this, such as bringing snack or refreshments.

Location

Chartwell Unit, Level 0, North Wing, Princess Royal University Hospital, Farnborough Common, Orpington, Kent, BR6 8ND

Contact details

Breast Care Unit Main Reception (PRUH): 01689 863 159

Email kch-tr.pruhbreastcns@nhs.net

For GPs and referrers

Refer a patient

GPs should refer via NHS e-referral (e-RS) wherever possible.

For emergency referrals, please contact the consultant by calling the Breast Care Unit on 01689 863 159.

Referral criteria

We offer clinical consultation, imaging and counselling, with results discussed and management plans agreed at a weekly multidisciplinary meeting. All patients are offered an appointment within 14 days and emergency patients (including breast abscesses) are seen on request the same day.

Our symptomatic clinics investigate both benign and malignant diseases and provide:

  • Investigation and treatment of all breast symptoms, such as lumps, mastalgia and nipple discharge.
  • Advice about familial risk of breast cancer and interactions with hormone replacement therapy.
  • Screening for occult breast cancer.
  • Management of breast cancer risk such as Hodgkin’s disease from earlier radiation exposure.
  • Prostheses advice and fitting.
  • Breast reconstruction, which is offered to all patients having mastectomy.

 We do not provide cosmetic surgery services or family history screening.