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A Multi Disciplinary Team

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Introduction
In 2011 there have been 49,900 women and 350 men that have been diagnosed with breast cancer within the United Kingdom (Cancer Research UK 2014). Individuals who are undergoing investigation for suspected breast disease can be referred for breast care services with symptoms or are recalled from the breast screening programme. The National Health Service Breast Screening Programme (NHSBSP) was introduced in 1988 which was due to the proposition of the Forrest Report that had been published two years prior (1986).
This essay will attempt to discuss the theoretical principals of population screening as well as the importance of diagnostic breast care services, with the influence of a multi-disciplinary team.
Theoretical …show more content…

The age range 50-69 is where mortality rate reduction was seen at its greatest. The main evidence used in favour for breast screening and Forrest report came from the studies and randomised control trials conducted in Sweden.
On the contrary Gotsche & Olsen (2000) disputed the findings of the Swedish randomised trials, claiming screening for breast cancer is unjustifiable, as there is inconsistency within the randomisation of the trial, as two of these trials found no effect of screening on mortality. A meta analysis was conducted by Gotsche & Olsen on the Swedish Trials results. This meta analysis found that ‘for every 1000 women screened biennially throughout 12 years one breast cancer death is avoided, whereas the total number of deaths is increased by six’. Other studies that were conducted in New York, Canada and Edinburgh had also been criticised on the methods of randomisation and validity.

The Forrest report stated that there must be a clinical examiner, radiologist and a pathologist within a multidisciplinary team to ensure that there is expert knowledge available in each health profession. Breast Services should all have breast surgeons, nurses, radiographers, pathologists, radiologists, oncologists, breast care services manager and clerical staff, this is what is recommended by the NICE 2002 for the successful running of the unit. The use of mammography is the first line of diagnostic investigation for women in the NHSBSP, Forrest

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