In 1996, the Department of Health published a document called Improving Outcomes in Breast Cancer. It recommended which healthcare professionals should be involved in the treatment, management and care of women with breast cancer. It also recommended how these services should be organised so that women with breast cancer across England and Wales would receive high-quality healthcare.

NICE has now published an updated version of this document. Further recommendations have been added and some of the original recommendations have been updated. The key recommendations are:

  • Women should be treated by a multidisciplinary team
  • Women should be treated promptly
  • Services should be more consistent
  • Intensive, hospital-based follow-up is not beneficial

In February 2009 NICE published guidance on early and locally advanced breast cancer and advanced breast cancer that complements the cancer service guidance.

Review decision

Following the surveillance review (December 2014) which checks the need to update cancer service guideline CSG1 improving outcomes in breast cancer, this guideline should not be updated at this time and the guidance should be transferred to the static list. The recommendations in the guidance which have been covered by subsequent guidelines including, referral for suspected cancer, metastatic spinal cord compression, early and locally advanced breast cancer, advanced breast cancer and familial breast cancer, should be withdrawn. Guidelines on the static list will remain extant and will be checked for the need for an update at 5-year intervals, or if new evidence emerges, according to the methods described here.