• General surgery, emergency intake ¼
• All breast related conditions: benign and malignant
• Oncological procedures(Ca oesophagus, sarcoma, melanoma…)

Multidisciplinary approach:driven by breast surgeon

• Oncology Nurse
• NGO involvement:CANSA, SOCAS, BreastSens, Reach for Recovery…
• Palliative care
• Social worker
• Community worker
• Life long follow up:Breast Clinic

Increased complexity of surgery…

• Mastectomy and axillary dissection
• Oncoplastic techniques
• Reconstructive methods:immediate and delayed
• Sentinel node dissection

Breast Unit

• Minimal volumes required
• Staff requirements
• Minimal adjuvant services
• EUSOMA requirements

Immediate problems

• Reduce waiting time: Employ dedicated clerks to work from the clinic, print admission stickers in advance, stable IT system for access to results
• Use of IT technology
• Maintenance requirements: running water and basins for dressing room
• Access to quality radiology: digital mammograms, sonar for clinic, stereotactic biopsy facility, make MRI functional. Solution mobile mammogram unit.
• Pathology reporting delay
• Address bed occupation challenges in Ward 4

Long term goals

• Compliance with international standards(BHGI, EUSOMA)
• Academic output
• Create regional infrastructure:outreach and network
• Interdisciplinary women’s health program
• Integrate other role players, NGOs