This quality standard covers the care of people with breast cancer after they have been referred to a specialist team. It includes the management of early (ductal carcinoma in situ and invasive), locally advanced and advanced breast cancer; recurrent breast cancer; and familial breast cancer. It describes high-quality care in priority areas for improvement.

It does not cover identification of breast cancer. Recognition and investigation of suspected cancer in primary care and referral to specialist services are covered in NICE’s quality standard for suspected cancer.

In June 2016, this quality standard was updated in response to an annual review, which identified changes in the areas for improvement for this topic. For more information see update information.

Keeping quality standards up to date

We checked this quality standard in 2017 and minor changes were made to ensure consistency with the update to the advanced breast cancer source guideline. The source guidance on early and locally advanced breast cancer is currently being updated and we are assessing what changes will need to be made to the quality standard.

Quality standard development process

How we develop NICE quality standards