New self-referral pathway accelerates breast cancer diagnosis in Somerset
Somerset introduces quicker access to specialist care for breast symptoms
A new self-referral system has been implemented in Somerset, enabling patients with breast cancer symptoms to access specialist care more quickly while easing the strain on GP services.
Launched on 23rd January 2025, the pathway allows people exhibiting worrying symptoms to bypass traditional GP appointments and directly self-refer to the Somerset NHS Foundation Trust's breast diagnostic clinic.
The Somerset NHS Foundation Trust was the first in England to introduce this pathway, which uses NHS 111 online and the NHS App to guide eligible patients through the referral process.
In its first year, 866 self-referrals were made through the service, leading to the diagnosis of 48 cases of breast cancer, with 34 patients moving forward to treatment.
Miss Caroline Osborne, a consultant breast surgeon at Somerset NHS Foundation Trust, expressed optimism about the new pathway, stating:
"This is a very exciting new self-referral pathway for people with concerning breast symptoms that will allow them to be assessed by the specialist team at the earliest opportunity."
Osborne highlighted the importance of early diagnosis, noting:
"We know that when breast cancer is diagnosed early, it gives us the best opportunity for successful treatment of the disease."
Rosie Edgerley, cancer programme manager at Somerset NHS Foundation Trust, emphasized how the innovative pathway eases pressure on GP services while providing reassurance to patients:
"By enabling patients to bypass their GP and be referred directly for specialist assessment, we are helping them to be seen more quickly during what can be an anxious and worrying time."
Using the NHS 10 Year Plan's focus on earlier diagnosis and prevention, the self-referral system aims to improve the speed and efficiency of breast cancer detection and treatment.
Shaida Tanweer, senior product manager at NHS 111 online, remarked on the benefits of the digital-first approach:
"This is about using technology to make access simpler and safer. Patients get faster reassurance or diagnosis, while the NHS benefits from a more efficient pathway."
In the UK, breast cancer is the most common cancer diagnosis, with around 55,500 women and 370 men diagnosed annually. With earlier diagnosis known to enhance the chances of successful treatment, Somerset's initiative could pave the way for wider adoption. The next steps include potential expansion to other areas and possibly encompassing other types of cancer.
Osborne's message to the public is clear:
"Importantly, don't ignore your symptoms. We've all got to be very vigilant of our breasts as women and changes in them. Unfortunately, breast cancer is the most common cancer that's diagnosed in women... So any symptom can either use the 111 online app as we've described or go to your GP, whichever is your preferred way. Don't ignore your symptoms, come forward with them."