What we do?
Bradford Teaching Hospitals NHS Foundation Trust Breast Service provides diagnostic and therapeutic care and treatment to approximately 500,000 patients within the Bradford area with a suspected disorder of the breast.
It also acts as a tertiary referral centre for the neighbouring areas of Airedale, Dewsbury, Halifax and Huddersfield for patients requiring diagnostic breast screening and breast reconstruction. Bradford Teaching Hospitals NHS Foundation Trust currently offers a wide range of breast reconstruction techniques. These include free flap reconstruction, Latissimus dorsi flaps and implant/expander reconstructions with or without the use of an acellular dermal matrix (ADM) or mesh.
Patients without breast symptoms who have concerns about a family history of breast cancer can be referred to the dedicated family history clinic service for professional advice and support. We work closely with the Department of Clinical Genetics in Leeds and refer patients on for gene testing in accordance with the most current NICE guidelines.
A team of specialist staff provides support to patients diagnosed with breast problems before, during and after treatment.
A weekly prosthetic fitting service is also available.
Close links exist with other specialist services, including: radiology, pathology, plastic surgery, oncology, clinical genetics and palliative care.
Outpatient services are provided in a dedicated diagnostic outpatient facility The Dales Suite located in the Horton Wing at St Luke's Hospital, Level 2, Area 8.
Patients requiring further assessment after attending for screening mammography will be invited to The Pennine Suite. This is a dedicated screening assessment unit located in St Luke's Hospital, Horton Wing on Level 2, Area 8.
The team is made up of a group of dedicated professionals with specific skills in managing and treating breast symptoms and disease.
The Breast Surgeon
This is a team of specially trained doctors who provide surgical treatment of breast disease. If you have a new breast problem your doctor will refer you to a breast surgeon for assessment of your symptoms. Breast Surgeons carry out operations to remove breast cancer and breast reconstruction.
Telephone contact (01274) 365844, (01274) 365734, (01274) 365063.
Mr Linforth Consultant Breast Surgeon
Mr Mo Salhab Consultant Breast Surgeon
Miss Catherine Tait Associate Breast Specialist Surgeon
A Breast Surgeon with specific skills in providing reconstruction of the breast after preventative breast cancer surgery and treatment of breast cancer.
Mr Nicholas Rhodes “ Consultant Plastic Surgeon
Mr Andrew Williams “ Consultant Plastic Surgeon
The Breast Radiologists
This is a doctor who is specially trained to interpret x-rays, mammograms and special scans from which a diagnosis is made, and who is an expert in carrying out diagnostic tests.
Dr Gemma Smith Consultant Radiologist and Director of Breast Screening Services
Dr Paul Burrows Consultant Radiologist
Dr Anne Marie Wason Consultant Radiologist
Dr Dalibor Grucic Consultant Radiologist
Dr Shazia Khan Consultant Radiologist
This is a team of professionals with skills in performing breast x-ray (mammogram) and breast ultrasound using equipment to produce images/pictures, which help to diagnose breast disease.
Mrs Leah Richardson Acting Superintendent of Breast Screening Services
Mrs Sarah Alexander Deputy Superintendent of Breast Screening Services
Breast Care Nurse Specialist
This is a nurse who is an expert in the care and support of people with breast problems. The Breast Care Nurse will provide information to help you to understand your treatment and will support you during your future treatment. She will advise you on practical issues and help with problems associated with your treatment. She can talk to other members of the Multi-Disciplinary Team on your behalf if you wish, and will guide you through your continuing follow-up care.
Telephone contact (01274) 365190
Mrs Mandy Blackburn Breast Care Nurse Specialist
Mrs Kathryn Kitchen Breast Care Nurse Specialist
Mrs Sakina Iqbal Breast and Genetic Clinical Nurse Specialist
Ms Trish Cockrem Breast Care Nurse Specialist
Mrs Lorraine Newton Breast Care Nurse Specialist
Mrs Kathryn Hodgson Breast Screening Nurse Specialist Telephone (01274) 365526
This is a doctor who is an expert in looking at cancer cells under a microscope and working out how they might behave to guide decisions on treatment.
Dr Pauline Carder Consultant Histopathologist
Dr Julian Ostrowski Consultant Histopathologist
Dr Salih Bahkiet Locum Consultant Histopathologist
Telephone (01274) 364095
This is a doctor who specialises in delivering non-surgical treatments for Breast Cancer including chemotherapy and hormone therapy.
Dr Christopher Bradley Consultant Medical Oncologist
Dr Shazza Rehman Consultant Medical Oncologist
A clinical oncologist specialises particularly in x-ray based treatment for breast cancer (radiotherapy) but may also have experience in chemotherapy and hormone therapy.
Telephone (0113) 2067822
Dr Emma Thomas Consultant Clinical Oncologist
This nurse identifies patients who are eligible for research studies, provides patients and their families with information about research, co-ordinates treatment and supports patients whilst they are taking part.
Telephone (01274) 383435
Mrs Helen Robertshaw Breast Clinical Research Nurse
Feedback, compliments and complaints
Bradford NHS Teaching Hospitals breast team welcome feedback from patients and their family/carers and is committed to using this information to improve and develop patient centred services, care and treatment.
The team currently receive information on services delivered from:
Â· The National Cancer Patient Survey. In response to comments received in 2014-2015 The Breast Team have developed two key pieces of information for patients:
1. Specific information on the delivery of local breast cancer services and care from the initial point of diagnosis with breast cancer and referral for treatment to the point of follow up care.
2. Development of a personalised care plan following completion of treatment.
Â· The Breast Team welcome information provided through the NHS Friends and Family Test and feedback on current services and developments in care and treatment are displayed in The Dales Unit and Pennine Screening Department.
Â· The team work closely with the Patient Advice and Liaison Service and welcome feedback from this service which improves the patient experience. Please click on patient tab and follow the link on the trust website for further information.
You can contact the Breast Surgeons on (01274) 365734 / 365063/365844
The Breast Care Nurse Specialists on (01274) 365190
The Pennine Screening Unit on (01274) 365521/2/3 or (01274) 365525 main reception
If you have a new breast symptom you should contact your GP immediately who will arrange for you to be seen in one of the five timetabled weekly symptomatic breast clinics held in The Dales Unit at St Luke's Hospital. This appointment will provide you with the opportunity to meet a breast surgeon who will assess and advise on your symptoms and any treatment if required.
If you have attended for a recent breast screening x-ray (mammogram) you may be invited for a further assessment appointment. An invitation letter will be sent to attend an appointment within The Pennine Breast Screening Unit at St Luke's Hospital. At this appointment you will meet with a consultant breast radiologist and breast care nurse specialist who will advise you on the reason for your second appointment and any further x-rays, ultrasound scans and tests required.
If you have a family history your GP can refer you to the family history clinic for specialist advice and assessment. During this consultation you will meet with a breast surgeon to discuss your current known family history and a clinical breast examination will be performed.
The team will then assess your risks utilising screening tools recommended by the National Institute for Clinical Excellence and will advise you of your current risk status in comparison to age matched members of the general population.
If you have a high risk of breast cancer a referral to the Regional Genetics Service based in Leeds will be requested. If you have a moderate risk the assessing surgeon will discuss your eligibility for screening breast imaging and the intervals of these assessments and will enrol you into the family history surveillance programme. If you have a low or equal risk to that of aged matched members of the public we will advise you on how to monitor for new breast symptoms and provide a summary of the family history recommendations to your GP.
Your visit to the breast clinic may take several hours so that all the necessary tests can be carried out. The order in which the tests are done will vary between clinics.
You may want to take a friend or relative with you for company or support. However, they won't usually be allowed in areas such as x-ray rooms.
A doctor or specialist nurse experienced in diagnosing and treating breast problems will usually see you first. You will be asked to fill in a short questionnaire including questions about any family history of breast problems, any medication you're taking, including hormone replacement therapy (HRT) or the contraceptive pill, or any previous breast surgery (including breast implants).
This will be followed by a breast examination, where the doctor or nurse will check both your breasts. The examination involves looking at and feeling both breasts when you are sitting and when you are lying down. As part of the examination, it's usual to examine the lymph nodes (glands) under your arm.
You may then need to have further tests. These will usually include one or more of the following:
· mammogram (breast x-ray)
· ultrasound scan
If an abnormality is felt in the breast or axilla (underarm) examination, or seen on the ultrasound or x-ray (mammogram) of the breast your doctor may perform one or two tests:
· fine needle aspiration (FNA) . This involves taking one or more samples of breast cells or cells from the gland under your arm known as lymph nodes using a fine needle and syringe.
· core biopsy. A core biopsy uses a larger needle to obtain a sample (sometimes several samples) of breast tissue from the area of concern. Because tissue is taken rather than cells it gives more detailed information.
· Local anaesthetic will be used before these procedures to keep you comfortable during the tests making the skin numb.
Not everyone will have an FNA or core biopsy. It depends on your symptoms or the findings from your mammogram and/or ultrasound scan.
We want to ensure you are kept fully informed throughout your visit of the reasons for any tests and investigations. Please feel free to ask questions during your visit if you are at all uncertain about any aspect of the treatment.
If you require an FNA or core biopsy you will be advised of the expected timing of these results before you leave the clinic. You will be given contact details for the breast care nursing team and you are welcome to contact them if you have any further questions or concerns.
If you are unable to attend your planed appointment please can you contact:
· Breast secretaries: all patients referred to The Dales Unit with a new breast symptom
Telephone (01274) 36574 / 365063 / 365844 were arrangements can be made to re-book your appointment to the next available breast clinic.
· Breast Screening Main Reception: all patients invited to a further appointment after your screening breast x-ray (mammogram).
Telephone 01274 365525 were arrangements can be made to re-book you appointment.
Click here for medication
The hospital provides an interpreting service.
The breast symptomatic outpatient service location:
The Dales Unit
Level 2 Area 8 Hortan Wing
St Luke's Hospital
Breast Screening Services:
The Pennine Breast Screening Unit
Level 2 Area 8 The Hortan Wing
St Luke's Hospital,
Little Horton Lane,
Medical and Clinical Oncology:
Outpatients West Department
Bradford Royal Infirmary
Breast Cancer Care Telephone 0808 800 6000 www.breastcancercare.org.uk
Macmillan 0808 808 00 00 www.macmillan.org.uk
Bosom Friends A local support group. Ladies meet on a Wednesday evening at The Bradford Cancer Support Centre Daisy House Farm, 44 Smith Lane, Bradford, BD9 6DA. Further information from Sue Hodgson (chair) Telephone (01274) 674381
Bradford Cancer Support Telephone (01274) 776688 www.bradfordcancersupport.org.uk
The Haven breast cancer support centre Telephone (0113) 2847829 www.thehaven.org.uk