Exploring pathways in the diagnosis and treatment of breast problems in the hospital setting. (Report for NHS Executive South Thames)

To follow patient pathways, patterns of treatment, and the sources and extent of any delays in the treatment of breast cancer within a hospital environment. Objectives: .To identify the length of time between the sending of the referral letter by the GP and the patients first attendance at the outpatients department (phase 1 ). .To identify the length of time between the patients first attendance and the confirmation of diagnosis, whether positive or negative (phase 2). .To identify the length of time between the confirmation of diagnosis and either the start of specialist treatment where indicated or discharge (phase 3). .To explain variations in the length of time taken for each of the above stages. .To assess the significance of delay in terms of patient satisfaction and clinical outcome.