Referral to the Breast Clinic

The Breast Clinic now has a main base at King Edward VII Hospital in Marylebone, central London, with clinics also available at 108 Harley Street, a state of the art facility with the latest diagnostic facilities including tomosynthesis digital mammography, high resolution ultrasound, vacuum biopsy etc,  all in comfortable, spacious and modern surroundings in central London. For local patients Mr Davies also runs one stop clinics twice per week Monday and Thursdays at the New Victoria Hospital. More recently Mr Davies has set up a new clinic every thursday afternoon/evening at Ashtead Hospital which has undergone a transformational refurbishment and provides an excellent outpatient and inpatient patient experience . Most patients can be accommodated and seen the same day or next day. Please see the clinic timetable and speak to the PA team (Melissa, Charlotte and Isobel) to arrange what is best for you.

What Happens at my first appointment?

You will be seen by Mr Davies together with his specialist breast nurse Denise. He will ask you some background questions about the nature of your symptoms and will examine you. If you need a mammogram or ultrasound (or both) these will be done immediately and the results available there and then. If a biopsy (needle test to take a sample of a lump) is needed, this will also be done immediately and the results usually available the same day or early the following day. It is common for Mr Davies to ring you on your mobile phone with results as soon as they become available or arrange to see you if needed again to discuss them. Occasionaly if the radiologist is on leave, the ultrasound component of your assessment might need to be the next day. The clinics are busy and Mr Davies will prioritise time for patients with new diagnoses of cancer. By the time you have had a consultation, a mammogram and an ultrasound if needed and discussed the results it may be an hour in total. 

What do I need to bring?

Your insurance details and any previous mammograms if you have them, as well as a referral letter is desirable. As Mr Davies oftens sees patients at short notice do not worry if the referral letter is not ready and follows your actual appointment. BUPA and other providors now recognise the importance of rapid diagnosis and assessment and are launching a new self referral service for breast and bowel cancer so that you can book in without the need for a GP referral or appointment: the BUPA contact number for self referral is 0800 012 1305 (Breast and Bowel self referral team). 

What happens if the lump shows cancer?

Most clinics although busy will not result in anyone being diagnosed with cancer, most lumps are harmless, but it still is a stressful experience to attend a clinic facing personal questions, an intimate examination and possibly tests. The role of the clinic specialist nurse is vital to make you feel relaxed and able to speak openly, we try very very hard to make the "experience" one that is empowering and give patients the tools and confidence they need to be breast aware. For benign conditions Mr Davies will provide you with written advice and information about how you can manage and reduce your symptoms. This may include advice on supplements, checking Vitamin D levels, dietary advice and holistic and alternative measures such as acupuncture. This is an important and often neglected aspect of breast care and something we focus on as we feel it is important. Many patients are in the 30-50 year old age bracket with stressful jobs, young children and perhaps recent experiences such as a family member, friend or work colleague who has had breast cancer. The holistic nature of our service is designed to address these issues, not just simply provide quick reassurance.

 If your lump or mammogram shows cancer it will be a big shock. This is a difficult time. You will need time to absorb the diagnosis, and careful support. Our breast care nurses will spend as long as is needed with you to support you, give you written information and make a plan for the next steps of your journey. We will check your contact details and inform your GP of the diagnosis on your behalf. No big decisions are made immediately, patients need time and space to reflect on decisions. Some patients like to move forward quickly, others need more information and time. A follow up appointment is usually made to take discussions forward and plan treatment. All patients will have access to a dedicated breast care nurse who will be a port of call for support, information, guidance and reassurance.

Clinic times

Monday

AM: New Victoria Hospital

PM: 108 Harley Street 

Tuesday

PM: King Edward VII Hospital

Wednesday

AM: 108 Harley Street

Thursday

AM: New Victoria Hospital

PM/Eve: Ashtead Hospital 

Friday

PM: King Edward VII Hospital

 

Clinic Locations:

ALL APPOINTMENTS: +44 (0)207 935 2021 (Melissa, Charlotte, Isobel)
breastsurgery@mac.com

108 HARLEY STREET RECEPTION: +44 (0)207 563 1214
frontoffice@108harleystreet.co.uk