Breast One-Stop Case Study in the South-West
The Details
Increase in Cancer referrals
In September, we were contacted to work with a large NHS Trust in the South West. They’d seen an increase in demand from referrals for suspected Breast Cancer and a lack of internal capacity to deal with the growing patient numbers.
Missing 2WW Targets
90% of their 2 week wait cancer patients were waiting over 28 days and only 5% were being seen within 2 weeks; a major issue but an issue that 18 Week Support exists to help solve.
Collaboration
Over 5 weeks, 18 Week Support operational teams, teams from the NHS Trust and our Clinical Lead Jo Franks worked collaboratively on the solution; a Breast One Stop clinic that would run at weekends staffed by 18 Week Support’s clinicians.
Innovative models of care
By implementing a One Stop model, patients visit to the hospital were reduced by 50%, improving their overall experience. This in turn reduced the waiting times.
Our Results
For our NHS Trust partner, patients waiting over 28 days reduced from 90% to 2.7%.
The percentage of patients seen within 2 weeks increased from 5% to 61% of all waiters.
And in December, the Trust is able to provide the service itself without the support of the 18 Week Support team – a win for the Trust, for patients and for the 18 Week Support.
-83%
Reduction in patients waiting over 28 days
97.5%
Clinics utilisation rate
99.9%
Average patient satisfaction
Our Clinical Leads

Miss Joanna Franks
Clinical Lead for Breast SurgeryMiss Joanna Franks is a Consultant Breast and Oncoplastic Surgeon. Her area of expertise is the assessment and management of all conditions relating to the breast, including both benign and malignant breast disease and asymptomatic patients with a family history. She is a trustee of Future Dreams, a charity dedicated to raising funds for support, awareness and research for those touched by breast cancer. She is a member of the medical advisory panel for Chai Cancer and is a professional reviewer for Macmillan Cancer Support Documents.