National Mastectomy and Breast Reconstruction Audit    Name Position Date Agreed Date Completed Date      Mr Kieran Horgan NSSG Chair Apr 2007 Mar 2009    Mr Rob Webster YCN Board Chair Aug 2009 -       The audit will: describe provision of and access to breast reconstruction in England and Wales evaluate current clinical practice in mastectomy and breast reconstruction measure outcomes following mastectomy with or without reconstruction assess the quality of information provided to women undergoing mastectomy and their satisfaction with the reconstructive choices made.   The Breast Cancer Clinical Outcome Measures (BCCOM) Project    Name Position Date Agreed Date Completed Date      Mr Kieran Horgan NSSG Chair Oct 2009 -    Mr Rob Webster YCN Board Chair Aug 2009 -       To audit across the UK the treatment of symptomatic breast cancer To compare management with published national standards and targets To measure against treatment’ hypotheses/gold standards To inform the setting of future standards To obtain complete and accurate outcome measures including survival   Audit of Timeliness of Communications for Breast Cancer in the YCN    Name Position Date Agreed Date Completed Date      Mr Ben Mancey-Jones NSSG Chair Jan 2010 Apr 2010    Mr Rob Webster YCN Board Chair Sep 2010 -       To review the timeliness of patients being informed their diagnosis of breast cancer in order to determine any possible variation across the Network. To review the % of all referrals receiving radiology results on the day of their first visit to clinic in order to determine any possible variation across the Network. To review the timeliness of deciding the adjuvant treatment plan following surgery in order to determine any possible variation across the Network. To provide a baseline position against which future audits can be compared. To provide evidence for the current guidelines and introduce new ones agreed by the Group in the light of current practice and evidence from the literature. The results will be presented by each MDT to the YCN Breast Network Site Specific Group which will suggest possible changes in practice.   Prospective Audit of Family History Referrals to each Trust in the YCN    Name Position Date Agreed Date Completed Date      Mr Ben Mancey-Jones NSSG Chair Apr 2010 Oct 2010    Mr Rob Webster YCN Board Chair Sep 2010 -       To provide the best possible estimate of patient numbers in the YCN area currently undergoing family history breast screening, together with the rate of new referrals. To support development of a YCN pathway and to assist commissioners and providers in assessing impact on services.   Audit of availability of key tumour data at 1st therapeutic MDT    Name Position Date Agreed Date Completed Date      Mr Ben Mancey-Jones NSSG Chair Oct 2010 Mar 2011    Mr Rob Webster YCN Board Chair Jan 2011 -       To determine the proportion of all breast cancer patients that have 5 key tumour data items available at the time of first therapeutic MDT discussion. Key items: Tumour size Tumour grade Nodal status ER status HER2 status To fully investigate those patients with missing key tumour data at the time of first therapeutic MDT to understand reasons why and identify improvements that could be made.

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