Key personnel

  • Chair - Dr William Teh, Clinical Director of Cancer Services, North West London Hospitals Trust  
  • Project manager - Falguni Raja, LCA

Introduction to the pathway group

The breast cancer pathway working group aims to improve patient access, experience and outcomes for breast cancer patients within south and west London. The membership of the group brings together specialist expertise from primary, secondary and tertiary care as well as patients and users of the service to enable development of high quality patient centred care.

The breast cancer pathway group supports the aims and objectives of the London Cancer Alliance in providing world class cancer services across south and west London. It aims to improve cancer patients' experience and outcomes through delivering excellence in clinical care, research, innovation and education with particular emphasis on earlier diagnosis for breast cancer.


  • Draw on the highest levels of expertise in its decision making.
  • Review evidence and current performance of pathways within the LCA with regard to outcomes, model of care recommendations and best practice.
  • Develop improvement plans and make recommendations for improvement to the Clinical Board.
  • Undertake a baseline audit of the performance of each organisation against delivery of the relevant model of care recommendations. The audit will include review against the model of care co-dependency framework
  • Agree and establish current best practice, and develop an exemplar best practice pathway.
  • Undertake a baseline assessment against the exemplar pathway, confirming the extent to which practice in each organisation is in line with this best practice.
  • Ensure the appropriate level of engagement with patients, primary care and other key stakeholders, such as public health, ensuring bi-annual stakeholder events.
  • Be compliant with peer review requirements.
  • Existing guidelines for each cancer network within the LCA should be merged to produce a single document used across the LCA. If these do not already exist, the pathway group should produce a new set of guidelines for the LCA on its specific tumour site or pathway.


  • Ensure exemplar breast pathways are in place
  • Standardised best practice guidelines
  • Equitable access for all patients across the LCA to the full range of breast cancer services, including reconstruction surgery and the 23-hour model for mastectomy
  • Improved patient experience
  • Earlier diagnosis and screening


The National Cancer Intelligence Network has produced service profiles for breast cancer. These profiles help quantify the variation across trusts for both the patient experience and the quality of patient care. The indicators included have been discussed with cancer commissioners and clinicians working in multi-disciplinary teams as being important elements for objective dialogue in terms of clinical practice and service delivery. The pathway group has contributed a number of additional indicators that ensure high standards of patient centred care and clinical effectiveness.

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