Breast Care Unit

What we do

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

If you have been referred to King's for routine breast screening please see our 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 clinics every weekday, as follows:

  • Monday: mornings
  • Tuesday: afternoons
  • Wednesday: afternoons
  • Thursday: mornings
  • Friday: mornings

Morning clinics starts at 8.30am. Afternoon clinics start at 12.45pm or 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

  1. You will be referred onto 2WW pathway by your GP (or within King’s).
  2. You will be seen in a one stop clinic by a consultant breast surgeon or a member of their team.
  3. A member of the medical team (consultant, clinical fellow, registrar or foundation year doctor) will take your medical history and complete a clinical examination.
  4. You will be sent for a mammogram, and/or tomosynthesis, and/or ultrasound, and/or biopsy (usually decided by consultant radiologist - for example, some patients will only need a mammogram while others will need a mammogram and ultrasound). All diagnostic tests are usually performed on the same day, but at times may need to be booked for another day.
  5. The consultant radiologist will review your mammogram, tomosynthesis, ultrasound and/or biopsy as required.

If your consultant is not concerned by findings on the diagnostic tests, but you have had a biopsy, you will be given an appointment for the biopsy results the following week and discharged.

  1. If your breast or radiology consultant is concerned by the findings of the diagnostic tests and a biopsy is taken, this will be discussed with you. If you then have any further concerns, a breast clinical nurse specialist (CNS) can talk you through the next steps.
  2. You will be asked to return to the clinic in approximately one to two weeks for the results of your biopsy.
  3. Your case will be discussed at a multidisciplinary meeting and a biopsy results report will be confirmed.
  4. Your multidisciplinary team will decide on a treatment plan, further investigations or next steps.

If no cancer is suspected, you will be discharged back to the community

If a cancer diagnosis is confirmed, you will attend a results clinic with your consultant surgeon and breast CNS (as per national guidance) and given your cancer diagnosis.

Our Breast care pathway for diagnostic tests (2WW) 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

Ground floor, Cheyne Wing, King's College Hospital, Denmark Hill, London, SE5 9RS

Contact Details

Patient Information Leaflets

Conditions we treat

Our multidisciplinary unit aims to provide all care for patients in one area, from diagnosis through all stages of treatment, with one clinical team. We see patients via:

  • emergency 2 week wait referral at our Breast Care Unit
  • the National Breast Screening programme at our breast screening clinic.

At the Breast Care Unit we offer clinical consultation, imaging, and counselling on the same day, 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 screening and 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.

Booking a patient at King's

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

Other ways to refer

Routine Referrals

Not applicable.

Emergency Referrals

For emergency referrals, please contact the consultant by calling the Breast Care Unit on 020 3299 3600 / 3962 / 0032

Other Queries

For appointments and general enquiries, please tel: 020 3299 3600 / 3962 / 0032

Key Clinical Staff

Name Job Title
Mr Arif Arif Consultant Surgeon
Miss Johanna Cade Breast Cancer CNS
Mrs Nancy Carter Lead Nurse Metastatic Breast Cancer
Mrs Jenny Curtis Breast clinical nurse specialist
Mr Neeraj Garg Consultant Breast Surgeon
Miss Danielle Laxman Breast Cancer Clinical Nurse Specialist
Mr Robert Price Consultant Breast Surgeon
Mrs Emma Riley Matron, Breast Care
Mr Jonathan Verrier Roberts Clinical Lead Breast Care
Mr Jonathan Verrier Roberts Systems Manager
Mr Michal Uhercik Locum Consultant Breast Surgeon