Patient Centred Follow-Up for patients with Early Breast Cancer 


New pathway for patient-centred follow-up for patients with early breast cancer


The NHS Long Term Plan vision is by 2021 where appropriate every person diagnosed with cancer will have access to personalised care, including needs assessment, a care plan and health and well- being information and support.

Under the NHS’s long term plan, all Trusts that provide care for patients with breast cancer must have a person centred approach in place by the end of 2019 with the aim of transforming follow-up care so that individuals with breast cancer will receive follow-up care that best addresses their needs.

For Breast cancer this will mean that patients will be assigned a specialist nurse who they can contact for advice and support, meaning patients can have any concerns quickly addressed.  The approach is set out in the regional guidance published today by the East of England Cancer Alliance, which is made up of the NHS organisations responsible for providing cancer care across the region.


Dr Christopher Scrase, Medical Director for the Cancer Alliance said:

“We need to address the fact that across the east of England, there is currently variation in how follow-up care is provided to individuals who have completed their breast cancer treatment.   Our new approach will mean patients are more in control of their follow-up treatment, better tailored to their own specific needs, with the necessary support in place from their hospital and wider support services”.

“This patient centred approach is in line with NHS England’s recently published Long Term Plan, which calls for a greater focus on promoting well being, recovery and empowerment to provide individuals with the information and confidence to have an active role in their care.”


Tonia Dawson, clinical lead for the East of England Cancer Alliance said:

 “Happily, due to the effectiveness of treatment, more people are living longer after the completion of their treatment, and we have had to consider how best they can be supported. Our new guidance puts a greater emphasis on helping patients to look after their own long term health and wellbeing and knowing what to do if they have any concerns following their treatment. Having specialist breast care nurses available and in some areas community cancer nurses means patients can be reassured that an appropriately trained health professional is on hand to help them”.


(Eileen Murphy, Macmillan Survivorship/eHNA Lead (left) and Linda Kelly, Patient Representative (right) promoting the Patient Centred Follow-Up pathways for patients with Early Breast Cancer at Woodlands Macmillan Centre, Hinchingbrooke Hospital)

Click HERE to view our video on Patient Centred Follow-Up


Debbie Adger (Senior Programme Manager - Living with & Beyond Cancer)


Sarah Miller (Programme Manager - Living with & Beyond Cancer / Head of Information)



Please find below link to our regional guidance along with a link to the NCSI (2013) How to Guide which we highly recommend is accessed as it will provide local Trusts with additional practical guidance: 

EoE Cancer Alliance Breast Person Centred Follow Up Guidance vs 3.1 FINAL- Feb 2019

Patient Centred Follow-Up for patients with Early Breast Cancer - Template GP Leaflet Feb 2019

Patient Centred Follow-Up for patients with Early Breast Cancer - Template Patient Leaflet Feb 2019

NCSI (2013) How to Guide:

Shaping excellence in cancer care - prevention and access to high quality cancer services across the East of England