Insourced Breast USC One-Stop Triple Assessment and Symptomatic Breast Radiology

[Part of care pathway Surgical and Associated services - Breast surgery] Hull University Hospitals NHS Trust (HUTH) on behalf of the Humber Health Partnership (HHP) plan to work in partnership with an Independent Sector (IS) Provider to facilitate provision of additional “one-stop” outpatient clinic capacity within the Breast Urgent Suspected Cancer (USC) pathway, to proactively manage capacity to maintain the delivery of the Cancer Faster Diagnostic Standard during periods where there is a demand vs capacity imbalance, and symptomatic breast radiology clinic support.

The “One-Stop Triple Assessment Clinic" is a new-patient outpatient clinic that delivers a triple diagnostic assessment in the form of:

• Clinical assessment
• Mammography and/or ultrasound imaging
• Fine needle aspiration or core biopsy

The IS provider will provide a full team of appropriately qualified and experienced workforce for each Breast USC “one-stop” triple assessment outpatient clinic (1 at Castle Hill Hospital and 1 at Diana Princess of Wales Hospital), namely for each site:

• 1 x Breast surgery clinician
• 1 x Radiology clinician
• 1 x Radiographer
• 1 x Radiology Assistant (RDA)
• 1 x Appropriate Breast Healthcare Assistant (HCA)
• 1 x Registered Nurse (RN) Support

Each clinic will be an all-day 25 patient session, utilising both AM and PM clinics. Clinics are expected to be delivered between 08:00 to 18:00 only. The sessions will be arranged initially over the weekends with options to be explored for weekday sessions in the future if required.

The "Symptomatic Breast Radiology Clinic Support" requires the provision of an appropriately qualified and experienced consultant radiologist to support weekday activity. This comprises the imaging component of triple assessment for symptomatic breast imaging and will include reporting mammograms / digital tomosynthesis, ultrasound of breast and axilla with biopsy as required and marker placement. Post marker check mammograms will also need reporting where appropriate. This will focus on patients that are referred into the breast symptomatic service on the Consultant led pathway. The requirement is initially for Wednesday & Thursday clinics at Castle Hill Hospital.

The contract is expected to run with an initial term from 2nd January to the end of March 2027, with options to extend for up to another 12 months subject to demand and internal approvals.

Please refer to the full service specifications and other ITT Documents for further details.